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Provider Information for 1114476355


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JENNIFER STROOP M.S.


Sex: Female

NPI: 1114476355
Last Updated: 2016-09-29
Certification Date:

Details

NameValue
NPI1114476355
Enumeration Date2016-09-29
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address UCONN HEALTH DIVISION OF HUMAN GENETICS
263 FARMINGTON AVE.
FARMINGTON, CT 06030-2812
United States

Phone: 860-679-6055 | Fax:860-679-0143
 
Primary Practice Address UCONN HEALTH DIVISION OF HUMAN GENETICS
263 FARMINGTON AVE.
FARMINGTON, CT 06030-2812
United States

Phone: 860-679-6055 | Fax:860-679-0143
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 170300000X - Genetic Counselor, MS CT20