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Individual
DR. MICHAEL THOMAS HURLOCK
Active
Individual
DR. MICHAEL THOMAS HURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. LMFT LPC NCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
000756
CT
106H00000X
Marriage & Family Therapist
Primary
001179
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002535
—
CT
Enumeration date
08/06/2008
Last updated
12/15/2009
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