| Mary Kinsella-shaw Llc | |
|
31 Warrenville Rd Mansfield Center CT 06250-1260 | |
| (860) 450-1173 | |
| Not Available |
| Full Name | Mary Kinsella-shaw Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 31 Warrenville Rd, Mansfield Center, Connecticut |
| Authorized Official Name and Position | Bonnilyn Telesca (BILLER) |
| Authorized Official Contact | 2036681613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kinsella-shaw Llc 31 Warrenville Rd Mansfield Center CT 06250-1260 Ph: (860) 450-1173 | Mary Kinsella-shaw Llc 31 Warrenville Rd Mansfield Center CT 06250-1260 Ph: (860) 450-1173 |
| NPI Number | 1013554518 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 12/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013554518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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