Individual
VILMARIE VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SOUTH ST, WEST HARTFORD, CT 06110-1967
(860) 578-1300
Mailing address
76 KINGFISHER CIR, SOUTH WINDSOR, CT 06074
(787) 689-2877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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