LAURELAI MARIE HISTED
Speech and Language Pathologist


Address: 425 E 114th St Apt 3re, New York, NY 10029-2357

LAURELAI MARIE HISTED (Credential# 1619626) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.

Business Overview

LAURELAI MARIE HISTED is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.005815. The credential type is speech and language pathologist. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 425 E 114th St Apt 3re, New York, NY 10029-2357. The current status is active.

Basic Information

Licensee Name LAURELAI MARIE HISTED
Credential ID 1619626
Credential Number 18.005815
Credential Type Speech and Language Pathologist
Business Address 425 E 114th St Apt 3re
New York
NY 10029-2357
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-01-10
Effective Date 2019-09-01
Expiration Date 2020-08-31
Refresh Date 2019-09-04

Office Location

Street Address 425 E 114TH ST APT 3RE
City NEW YORK
State NY
Zip Code 10029-2357

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City NEW YORK
Zip Code 10029
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + NEW YORK

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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