Individual
MS. ALISON BIRKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
129 MAIN ST N, WOODBURY, CT 06798-2955
(203) 263-0673
Mailing address
PO BOX 825, WOODBURY, CT 06798-0825
(860) 733-5191
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001179
CT
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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