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1568068401
ALICIA PONTICELLO
NORWALK, CT
NPI
1568068401
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Former Name
ALICIA SULLIVAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 4995)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
ALICIA PONTICELLO
3 NASH PL
NORWALK, CT 06854-1403
Phone number: 203-247-3482
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Mailing Address
ALICIA PONTICELLO
3 NASH PL
NORWALK, CT 06854-1403
Phone number: 203-247-3482
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