Individual
COLLEEN ELIZABETH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
366 FEDERAL RD, BROOKFIELD, CT 06804-2406
(203) 775-1819
(203) 775-2028
Mailing address
366 FEDERAL RD, BROOKFIELD, CT 06804-2406
(203) 775-1819
(203) 775-2028
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1188
CT
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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