Individual
MS. PAULA C HENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
192 S MAIN ST, REAR ENTRANCE, MIDDLETOWN, CT 06457-3727
(203) 379-6403
(860) 788-6777
Mailing address
192 SOUTH MAIN STREET, REAR ENTRANCE, MIDDLETOWN, CT 06457
(203) 379-6403
(860) 788-6777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CT
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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