Individual
KEYONNA ARIEN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 CARMEL ST, NEW BRITAIN, CT 06053-2518
(860) 877-0461
Mailing address
16 CARMEL ST, NEW BRITAIN, CT 06053-2518
(860) 877-0461
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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