Individual
MARISSA GRAZIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 COPPER RIDGE RD, SOUTHINGTON, CT 06489-4608
(860) 402-0247
Mailing address
155 COPPER RIDGE RD, SOUTHINGTON, CT 06489-4608
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
512838
MA
103TS0200X
School Psychologist
Primary
C012019002337
CT
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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