Individual
MARLA STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 EAST ST, PLAINVILLE, CT 06062-2935
(860) 793-6882
Mailing address
240 EAST ST, PLAINVILLE, CT 06062-2935
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00793
CT
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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