Individual
JENNIFER FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.SC.
Contact information
Practice address
464 CONGRESS AVE, SUITE #260, NEW HAVEN, CT 06519-1361
(310) 993-4401
Mailing address
464 CONGRESS AVE, SUITE #260, NEW HAVEN, CT 06519-1361
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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