Individual
CORDELLA BOWEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 SMITH DR, EAST HARTFORD, CT 06118-1545
(860) 328-1857
Mailing address
30 SMITH DR, EAST HARTFORD, CT 06118-1545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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