SAMANTHA FORMICA

FARMINGTON, CT
NPI1669097648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CT  6207)
Enumeration Date2020-06-15
Last Update Date2020-06-15
Business Address
SAMANTHA FORMICA
304 MAIN ST STE A
FARMINGTON, CT 06032-2985
Phone number: 860-674-1824
Mailing Address
SAMANTHA FORMICA
767 ARBUTUS ST
MIDDLETOWN, CT 06457-5120
Phone number: 860-878-5905