Individual
NICOLE FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 VALLEY ST, WILLIMANTIC, CT 06226-1901
(860) 456-7200
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 697-3351
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
11/27/2019
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