Individual
LUCERO HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095-2700
(860) 299-5553
Mailing address
89 MARJORIE LN, MANCHESTER, CT 06042-2078
(860) 299-4453
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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