NICOLE C SMITH
Speech and Language Pathologist


Address: 425 Wormwood Rd, Fairfield, CT 06824-4556

NICOLE C SMITH (Credential# 698435) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

NICOLE C SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.003864. The credential type is speech and language pathologist. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 425 Wormwood Rd, Fairfield, CT 06824-4556. The current status is active.

Basic Information

Licensee Name NICOLE C SMITH
Credential ID 698435
Credential Number 18.003864
Credential Type Speech and Language Pathologist
Business Address 425 Wormwood Rd
Fairfield
CT 06824-4556
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-04-20
Effective Date 2019-11-01
Expiration Date 2020-10-31
Refresh Date 2019-11-18

Office Location

Street Address 425 WORMWOOD RD
City FAIRFIELD
State CT
Zip Code 06824-4556

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Annie E Mirra 379 Wormwood Rd, Fairfield, CT 06824-4556 Registered Nurse 2020-03-01 ~ 2021-02-28

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + FAIRFIELD

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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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