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1144077256
FAYE M TINE
AVON, CT
NPI
1144077256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 4690)
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
FAYE M TINE M.A., CCC-SLP
56 E MAIN ST
AVON, CT 06001-3802
Phone number: 860-271-0098
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Mailing Address
FAYE M TINE M.A., CCC-SLP
24 BOTELLE MNR
CROMWELL, CT 06416-1301
Phone number: 860-424-6792
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