Individual
MS. ISABELLA EVE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 613-9930
Mailing address
409 MAIN ST, TERRYVILLE, CT 06786-5603
(860) 560-3831
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
05/03/2024
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