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Organization
FTN CT HOLDINGS. LLC
Active
Organization
FTN CT HOLDINGS. LLC
Active
Other names
Solterra Academy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWEN KILLHEFFER ED.D. (PRINCIPAL AND CHIEF ADMINISTRATOR)
(860) 612-2312
Entity
Organization
Contact information
Practice address
270 JOHN DOWNEY DR, NEW BRITAIN, CT 06051-2906
(860) 612-2309
(860) 612-2301
Mailing address
300 JOHN DOWNEY DR, NEW BRITAIN, CT 06051-2925
(860) 612-2312
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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