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1508942426
MARYAM JERNIGAN
WEST HARTFORD, CT
NPI
1508942426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: CT 8.003430)
Enumeration Date
2006-10-31
Last Update Date
2015-07-30
Business Address
Dr. MARYAM JERNIGAN PhD
784 FARMINGTON AVE
WEST HARTFORD, CT 06119-1619
Phone number: 860-523-4450
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Mailing Address
Dr. MARYAM JERNIGAN PhD
784 FARMINGTON AVE
WEST HARTFORD, CT 06119-1619
Phone number: 860-523-4450
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