Individual
MEAGHAN LEATHEM DAMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 TUNXIS ST, FARMINGTON, CT 06032-2813
(203) 645-0373
Mailing address
3 TUNXIS ST, FARMINGTON, CT 06032-2813
(203) 645-0373
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10240
FL
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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