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420 Quaker Farms Rd Oxford CT 06478-1307 | |
(203) 305-1012 | |
(203) 888-5275 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 420 Quaker Farms Rd, Oxford, Connecticut |
Authorized Official Name and Position | Alice Margaret Kroll (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 2033051012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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420 Quaker Farms Rd Oxford CT 06478-1307 Ph: (203) 305-1012 | 420 Quaker Farms Rd Oxford CT 06478-1307 Ph: (203) 305-1012 |
NPI Number | 1295120566 |
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Provider Enumeration Date | 04/02/2015 |
Last Update Date | 04/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295120566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 002639 (Connecticut) | Primary |
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