Individual
KELLY M VYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BUTTERNUT RD, GROTON, CT 06340-2952
(860) 333-7886
Mailing address
105 BUTTERNUT RD, GROTON, CT 06340-2952
(860) 333-7886
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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