Individual
MY'ASIA HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BRIDGEPORT AVE STE 405, SHELTON, CT 06484-4660
(203) 993-6592
Mailing address
145 SHELL ST, BRIDGEPORT, CT 06605-2725
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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