LUCAS NORTHERN

STAMFORD, CT
NPI1396472486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CT  006772)
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
LUCAS NORTHERN slp
30 BUXTON FARM RD STE 230
STAMFORD, CT 06905-1206
Phone number: 203-212-4191
Mailing Address
LUCAS NORTHERN slp
30 BUXTON FARM RD STE 230
STAMFORD, CT 06905-1206
Phone number:
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