NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780730267 |   |   |   | COMMUNITY CHILD GUIDANCE CLINIC, INC. | 317 N MAIN ST | MANCHESTER | CT | 060422007 |
1093061061 | AMODEO | MARGUERITE | E |   | 317 N MAIN ST | MANCHESTER | CT | 060422007 |
1952630519 | JOHNSON | CLIFFORD |   |   | 317 N MAIN ST | MANCHESTER | CT | 060422007 |
1609977685 | LARSEN | TANJA | EVE |   | 317 N MAIN ST | MANCHESTER | CT | 060422007 |
1649509837 | O'REILLY | ELIZABETH |   |   | 317 N MAIN ST | MANCHESTER | CT | 060422007 |
1669540274 | SCHEMPP | LAUREN |   |   | 317 N MAIN ST | MANCHESTER | CT | 060422007 |
1508195025 | THIBADEAU | DOREEN | CASSIDY |   | 317 N MAIN ST | MANCHESTER | CT | 060422007 |