Individual
MISS KRISTY LYN ANTONACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
98 HOSPITALITY DR, BARRE, VT 05641-5360
(802) 229-0308
Mailing address
13 FOSTER ST APT 3, BARRE, VT 05641-4608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0132438PROV
VT
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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