Individual
CONNOR DANIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 WEST ST, CROMWELL, CT 06416-4404
(203) 889-7140
Mailing address
162 WEST ST, CROMWELL, CT 06416-4404
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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