Danielson, Mandie

Danielson, Mandie is an individual health care provider with primary practice located at 75 Granite St , New London CT 06320-5730. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Danielson, Mandie can be contacted via phone (860) 437-4550.

Contact Information

Primary practice address
75 Granite St New London CT 06320-5730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1790930022
LBN Legal business name Danielson, Mandie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Dec 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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