Individual
JAELYNE DENECE GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(888) 793-3500
Mailing address
357 BRITTANY FARMS RD APT 124, NEW BRITAIN, CT 06053-1103
(239) 265-0569
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7444
CT
103TS0200X
School Psychologist
C062024001519
CT
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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