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Individual

MICHELLE LYNN DEGENNARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 NATIONAL DRIVE, GLASTONBURY, CT 06033
(860) 657-8910
Mailing address
110 NATIONAL DRIVE, GLASTONBURY, CT 06033
(860) 657-8910

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4865
CT

Other

Enumeration date
01/14/2020
Last updated
01/14/2020
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