Individual
JESSIE-FERN LYNN SLYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 BLOOMFIELD AVE, WINDSOR, CT 06095-2363
(860) 413-9538
Mailing address
55 DORSET XING UNIT 226, SIMSBURY, CT 06070-1475
(413) 388-3386
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1415
CT
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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