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Individual
KAREN REARDON
Active
Individual
KAREN REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001140
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004257334
—
CT
01
—
11738661
CAQH
—
01
—
549791
MANAGED HEALTH NETWORK-MHN/WELLMORE, INC.
CT
Enumeration date
03/15/2007
Last updated
05/21/2015
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