Individual
MARY KATE URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 NIANTIC RIVER RD, WATERFORD, CT 06385-1533
(617) 790-4800
Mailing address
4 COLLIN CT, WALLINGFORD, CT 06492-2074
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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