Individual
STEPHANIE MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 LENOX DR, GLASTONBURY, CT 06033-3093
(860) 430-1098
Mailing address
27 LENOX DR, GLASTONBURY, CT 06033-3093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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