Individual
CARLESE SHANNELLE WELCOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HARTLAND ST STE 8, EAST HARTFORD, CT 06108-6201
(888) 754-0398
Mailing address
257 LINNMOORE ST, HARTFORD, CT 06106-4339
(860) 655-6143
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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