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Individual

MS. TOSHA RENNOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
163 MIDDLEFIELD ST, HARTFORD, CT 06112-1945
(860) 987-8162
Mailing address
163 MIDDLEFIELD ST, HARTFORD, CT 06112-1945
(860) 987-8162

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/16/2025
Last updated
01/16/2025
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