Individual
BETTINA MALLARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 BEACON ST, WATERBURY, CT 06704-3424
(203) 574-9000
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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