Individual
KELSEY ANN KEARNS BUTTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 POND MEADOW RD, KILLINGWORTH, CT 06419-1122
(860) 304-1676
Mailing address
147 POND MEADOW RD, KILLINGWORTH, CT 06419-1122
(860) 304-1676
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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