Individual
DESTINY MALDONADO CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SALEM TPKE STE 200, NORWICH, CT 06360-6484
(888) 754-0398
Mailing address
35 SHETUCKET AVE, TAFTVILLE, CT 06380-1229
(860) 938-3742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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