Individual
MRS. KELLY KENDALL TOWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402
(610) 216-8142
Mailing address
1217 WHITNEY AVE, APT. 15, HAMDEN, CT 06517-2810
(610) 216-8142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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