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Allyson Licese
NPI 1033686514 · on the registry since 2018 · sole proprietor
Practice
- Address
- 28 Russett Ln
Middletown, CT 06457 - Phone
- (203) 206-3538
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YM0800X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut