Individual
STACY CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
369 NEW BRITAIN RD STE C, BERLIN, CT 06037-1351
(860) 543-0618
Mailing address
46 N AIRLINE RD, WALLINGFORD, CT 06492-2643
(203) 518-2492
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
612
CT
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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