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Organization
PSYCHIATRIC MEDICINE CENTER, PC
Active
Organization
PSYCHIATRIC MEDICINE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA GRAVES (CREDENTIALER)
(860) 442-6364
Entity
Organization
Contact information
Practice address
501 OCEAN AVE, NEW LONDON, CT 06320-4521
(860) 442-6364
(860) 447-9977
Mailing address
501 OCEAN AVE, NEW LONDON, CT 06320-4521
(860) 442-6364
(860) 447-9977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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