Individual
MEGAN SQUADRITO KIELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 EAST ST, PLAINVILLE, CT 06062-2309
(860) 368-8665
Mailing address
38 KELLEY ST, BRISTOL, CT 06010-5715
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2318
CT
Other
Enumeration date
12/17/2019
Last updated
10/01/2020
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