Individual
KIANA MACBURNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
932 BANK ST, NEW LONDON, CT 06320-2703
(860) 447-1717
Mailing address
932 BANK ST, NEW LONDON, CT 06320-2703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7935
CT
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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