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Individual

EMMA DZAMKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
95 MAIN ST STE 2, EAST HAMPTON, CT 06424-1146
(860) 440-7288
Mailing address
1013 WASHINGTON WOODBURY RD, ROXBURY, CT 06783-1201
(203) 518-0030

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/20/2019
Last updated
12/20/2019
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