Individual
MAIREAD KELLY DEFRONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 N MAIN ST STE 260, WEST HARTFORD, CT 06117-2508
(203) 816-0091
Mailing address
102 BRIDGEWATER DR, AVON, CT 06001-4404
(860) 515-7068
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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