Individual
JONATHAN CODRARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
74 EAST ST, PLAINVILLE, CT 06062-2367
(860) 466-9646
Mailing address
74 EAST ST, PLAINVILLE, CT 06062-2367
(860) 466-9646
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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