Connecticut
Department of Consumer Protection
DANIEL FORMAN
Speech and Language Pathologist
License number
4765
Date granted
12/09/2013
Date expires
10/31/2014
Class
Speech and Language Pathologist
Status
Active
Address
138 WOODLAWN ST, New Haven, HAMDEN, CT, 06517-1339
ctlicensing.org
ID 18393050
LAST UPDATED 2024-02-09 09:37:57 UTC
LAST UPDATED 2024-02-09 09:37:57 UTC
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