Individual
MRS. SHANTAE ALICIA FYFFE-SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HEAD OF MEADOW RD, NEWTOWN, CT 06470-1788
(917) 543-4521
Mailing address
101 HEAD OF MEADOW RD, NEWTOWN, CT 06470-1788
(917) 543-4521
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6889
CT
Other
Enumeration date
10/21/2019
Last updated
05/20/2024
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