Individual
STEPHANIE JEAN COLLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HARTLAND ST STE 108, EAST HARTFORD, CT 06108-3259
(888) 754-0398
Mailing address
60 PINNEY ST APT 182, ELLINGTON, CT 06029-3833
(860) 759-7477
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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