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1447258645
DENISE B VAN DER VOORT
STORRS, CT
NPI
1447258645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 001882)
Enumeration Date
2005-07-12
Last Update Date
2012-06-15
Business Address
-- DENISE B VAN DER VOORT MA
850 BOLTON RD
STORRS, CT 06269-9020
Phone number: 860-486-2629
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Mailing Address
-- DENISE B VAN DER VOORT MA
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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