Individual
COLLEEN A MULLANEY-BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
509 WETHERSFIELD AVE, HARTFORD, CT 06114-1907
(860) 296-2121
(860) 296-1197
Mailing address
15 JACKSON ST, NEW BRITAIN, CT 06053-3010
(860) 826-7247
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000514
CT
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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