Individual
AMANDA JAYLYN DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
(860) 437-4550
(860) 661-4262
Mailing address
PO BOX 120, NEW LONDON, CT 06320-0120
(860) 437-4550
(860) 661-4262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
CT
Other
Enumeration date
08/15/2022
Last updated
05/24/2024
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