JENNA MARIE TELLERICO NILES

AVON, CT
NPI1700362217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CT  5633)
Enumeration Date2018-07-17
Last Update Date2018-09-11
Business Address
Ms. JENNA MARIE TELLERICO NILES MS CCC-SLP
30 AVON MEADOW LN
AVON, CT 06001-3745
Phone number: 860-284-9779
Mailing Address
Ms. JENNA MARIE TELLERICO NILES MS CCC-SLP
PO BOX 421
AVON, CT 06001-0421
Phone number: 860-284-9779