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STEPHANIE LYNN COLACICCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NUTRITIONIST

Contact information

Practice address
51 HAYWARD AVE APT 3A, COLCHESTER, CT 06415-1288
(860) 808-7708
Mailing address
33 MILLER RD, COLCHESTER, CT 06415-2707
(860) 808-7708

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CT

Other

Enumeration date
03/02/2021
Last updated
03/02/2021
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