Individual
KATELIN M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SALEM TPKE, NORWICH, CT 06360-6484
(860) 822-7584
Mailing address
31.5 S B ST, TAFTVILLE, CT 06380
(860) 822-7584
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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