Individual
ESTELLE JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N COLONY RD, MERIDEN, CT 06450-2325
(203) 808-0676
Mailing address
855 N COLONY RD, MERIDEN, CT 06450-2325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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