Individual
KIMBERELY BOURNE-VANNECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3849
(860) 793-4440
Mailing address
3 AGRONOMY RD, PO BOX 431, STORRS MANSFIELD, CT 06268-2640
(860) 793-3849
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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