Individual
MRS. HEATHER STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSTCM, L.AC.
Contact information
Practice address
499 FEDERAL RD, SUITE 1, BROOKFIELD, CT 06804-2041
(203) 823-8468
Mailing address
47 HAZEL AVE, NAUGATUCK, CT 06770-4706
(203) 823-8468
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
630
CT
Other
Enumeration date
07/16/2015
Last updated
11/20/2015
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