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1700362217
JENNA MARIE TELLERICO NILES
AVON, CT
NPI
1700362217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: CT 5633)
Enumeration Date
2018-07-17
Last Update Date
2018-09-11
Business Address
MS. JENNA MARIE TELLERICO NILES MS CCC-SLP
30 AVON MEADOW LN
AVON, CT 06001-3745
Phone number: 860-284-9779
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Mailing Address
MS. JENNA MARIE TELLERICO NILES MS CCC-SLP
PO BOX 421
AVON, CT 06001-0421
Phone number: 860-284-9779
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