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Individual

ALYSSA A GENDREAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
144 MAIN ST, EAST HARTFORD, CT 06118-3239
(860) 359-3737
Mailing address
71 W MAIN ST, STAFFORD SPRINGS, CT 06076-1423
(860) 416-4067

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CT

Other

Enumeration date
05/19/2022
Last updated
05/19/2022
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