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Individual

ELLEN YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
251 S MAIN ST, COLCHESTER, CT 06415-1441
(860) 531-9426
Mailing address
192 SHAILOR HILL RD, COLCHESTER, CT 06415-2539
(860) 559-4693

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26-1582926
CT
Enumeration date
06/29/2018
Last updated
06/29/2018
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