Individual
MARIA THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 SYCAMORE WAY, BRANFORD, CT 06405-6551
(203) 483-2630
Mailing address
14 SYCAMORE WAY, BRANFORD, CT 06405-6551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7366
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2023
Last updated
08/22/2024
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