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1750 Ellington Rd Ste 3 South Windsor CT 06074-2746 | |
| (860) 823-7074 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1750 Ellington Rd Ste 3, South Windsor, Connecticut |
| Authorized Official Name and Position | Thomas Morris (OWNER) |
| Authorized Official Contact | 8608237074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
54 Laurel Trl Coventry CT 06238-2957 Ph: (860) 823-7074 | 1750 Ellington Rd Ste 3 South Windsor CT 06074-2746 Ph: (860) 823-7074 |
| NPI Number | 1215457635 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215457635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001662 (Connecticut) | Primary |
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