Individual
MARY JEAN DENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 ASHFORD RD, EASTFORD, CT 06242-9743
(860) 336-9211
Mailing address
222 ASHFORD RD, EASTFORD, CT 06242-9743
(860) 336-9211
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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