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KRYSTAL MOON

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1811310527

Individual Registrant:
 KRYSTAL  MOON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
34 SLICER DR  AMSTON, CT 06231-1327 US
Tel: 860-681-7002  Fax: --

Contact information for business:
34 SLICER DR  AMSTON, CT 06231-1327 US
Tel: 860-681-7002  Fax: --

Registration Information:
NPI: 1811310527
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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