Individual
JENNIFER A. SKELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, MED
Contact information
Practice address
275 MOUNT CARMEL AVE, GM-ATH, HAMDEN, CT 06518
(203) 582-3717
(203) 582-8186
Mailing address
416 MAIN ST., #2, WALLINGFORD, CT 06492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000398
CT
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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