Individual
MARY C BADE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2003
(860) 646-1222
(860) 647-6819
Mailing address
66 RYAN RD, TOLLAND, CT 06084-3533
(860) 875-2082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000726
CT
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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