Individual
JACQUELINE CARRAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 DENISON RD, MIDDLETOWN, CT 06457-4602
(860) 463-1448
Mailing address
30 DENISON RD, MIDDLETOWN, CT 06457-4602
(860) 463-1448
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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