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1972190775
NICHOLAS WYTAS
FARMINGTON, CT
NPI
1972190775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 6453)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
NICHOLAS WYTAS CCC-SLP
304 MAIN ST STE A
FARMINGTON, CT 06032-2985
Phone number: 860-674-1824
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Mailing Address
NICHOLAS WYTAS CCC-SLP
627 BRIGHTON PARK WAY UNIT 3109
BLOOMFIELD, CT 06002-3172
Phone number:
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