Individual
KELLY DONLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 WOODLAND ST, HARTFORD, CT 06105-1233
(860) 241-0317
Mailing address
20 TUNXIS VLG, FARMINGTON, CT 06032-1517
(860) 490-8101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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