Individual
EVAN MATTHEW MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 SALEM TPKE UNIT 200, NORWICH, CT 06360-6515
(888) 754-0398
Mailing address
41 HENRY ST APT B7, NORWICH, CT 06360-7420
(203) 623-7262
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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