Individual
MRS. ALEXIS LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 N MAIN ST, WEST HARTFORD, CT 06117-2515
(959) 223-3077
(959) 207-6224
Mailing address
73 BENTON ST, MANCHESTER, CT 06040-4303
(860) 999-3425
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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