Individual
MS. YASMINE MAI LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 PROVIDENCE PIKE STE E, PUTNAM, CT 06260-2415
(860) 805-0759
Mailing address
68 THERMOS AVE UNIT 320, NORWICH, CT 06360-6945
(860) 949-2119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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