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1740684075
KARA DOHERTY
SHELTON, CT
NPI
1740684075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 004901)
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
-- KARA DOHERTY MS CCC-SLP
555 BRIDGEPORT AVE
SHELTON, CT 06484-4749
Phone number: 203-922-1773
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Mailing Address
-- KARA DOHERTY MS CCC-SLP
1931 BLACK ROCK TPKE ATTN: CREDENTIALING
FAIRFIELD, CT 06825-3506
Phone number: 203-332-4363
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