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1003502097
SHONDA M NORTHUP
DANIELSON, CT
NPI
1003502097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
SHONDA M NORTHUP
71 WESTCOTT RD
DANIELSON, CT 06239-2929
Phone number: 860-731-5522
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Mailing Address
SHONDA M NORTHUP
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-697-3351
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