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Individual

KAREN HENAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
281 MAIN ST, EAST HARTFORD, CT 06118-1823
(860) 569-5900
(860) 569-5905
Mailing address
281 MAIN ST, EAST HARTFORD, CT 06118-1823
(860) 569-5900
(860) 569-5905

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001595
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004050993
CT
Enumeration date
06/04/2006
Last updated
09/21/2012
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