Individual
REBECCA DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3720
(860) 322-6392
Mailing address
324 KENNEDY RD, WINDSOR, CT 06095-2234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5504
CT
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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