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Individual

MRS. BRANDEE ILENE GOING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC,LMT

Contact information

Practice address
93 MARKET SQ, NEWINGTON, CT 06111-2900
(860) 578-9865
Mailing address
1703 SAYBROOK RD, HADDAM, CT 06438-1324
(860) 304-9809

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
554
CT

Other

Enumeration date
10/11/2012
Last updated
01/09/2017
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