Individual
MS. SHALEIGHNE MARY FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-7202
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
112
CT
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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