# IRENE SHERLOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902168115
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001524 | CT | Yes |

## Other

- **Enumeration date:** 06/13/2012
- **Last updated:** 06/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004123840 | — | CT |
| 05 | — | 008017939 | — | CT |
| 05 | — | 008031626 | — | CT |