Individual
KATHERINE MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 DUNCASTER RD, BLOOMFIELD, CT 06002-1109
(860) 614-5282
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/28/2023
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