Individual
MAGUEDALENA MANOUCHEKA SUPREME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MAIN ST APT 812, HARTFORD, CT 06106-1875
(305) 399-9176
Mailing address
250 MAIN ST APT 812, HARTFORD, CT 06106-1875
(305) 399-9176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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