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Individual

MARIAN CANCELLIERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 874-4774
(860) 645-4132
Mailing address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 874-4774
(860) 645-4132

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
001653
CT

Other

Enumeration date
04/03/2012
Last updated
04/03/2012
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