Individual
DEBORAH CHRISTINE MONGILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
139 NORTH MAIN STREET, WEST HARTFORD, CT 06107
(860) 216-8565
Mailing address
10 MONTCLAIR DR, WEST HARTFORD, CT 06107-1246
(860) 216-8565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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