Individual
ROSEMARY GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 GOSHEN RD, WATERFORD, CT 06385-3700
(860) 705-4282
Mailing address
42 GOSHEN RD, WATERFORD, CT 06385-3700
(860) 705-4282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
402
CT
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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