Individual
LAUREN MOLLENGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
368 MILES RD, ORANGE, CT 06477-3310
(203) 815-9786
Mailing address
368 MILES RD, ORANGE, CT 06477-3310
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50698
CT
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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