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1013976703
KELLY A MASSUCCI
FARMINGTON, CT
NPI
1013976703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CT 002268)
Enumeration Date
2006-03-21
Last Update Date
2007-07-09
Business Address
-- KELLY A MASSUCCI m.ed. otr/l
270 FARMINGTON AVE SUITE 126
FARMINGTON, CT 06032-1909
Phone number: 860-674-1824
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Mailing Address
-- KELLY A MASSUCCI m.ed. otr/l
111 FOXCROFT RD
WEST HARTFORD, CT 06119-1018
Phone number: 860-523-8677
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