Individual
KIMBERLY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
Mailing address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
254
CT
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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