Individual
MS. KEISHANNA AMANDA MCCALMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
91 NORTHWEST DR, SUITE 204, PLAINVILLE, CT 06062-1534
(860) 793-7243
(860) 793-4497
Mailing address
1532 MAIN ST, 2ND FLOOR NORTH, EAST HARTFORD, CT 06108-1622
(203) 887-0312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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