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Organization
CONNECTICUT BRANCHES
Active
Organization
CONNECTICUT BRANCHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE SIMPSON MS (OWNER)
(203) 987-3968
Entity
Organization
Contact information
Practice address
30 HAZEL TER STE 2, WOODBRIDGE, CT 06525-2240
(203) 987-3968
(203) 987-6313
Mailing address
PO BOX 3824, WOODBRIDGE, CT 06525-0824
(203) 987-3968
(203) 987-6313
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
CT
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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