Individual
MS. STEPHANIE FASCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
586 MAIN ST, NEW BRITAIN, CT 06051-1812
(860) 225-4641
(860) 225-4642
Mailing address
586 MAIN ST, NEW BRITAIN, CT 06051-1812
(860) 225-4641
(860) 225-4642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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