Individual
MARY M GEORGETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
57 PLAINS RD, SUITE 2C, MILFORD, CT 06461-2573
(203) 581-2068
Mailing address
57 PLAINS RD, SUITE 2C, MILFORD, CT 06461-2573
(203) 581-2068
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001440
CT
Other
Enumeration date
09/16/2011
Last updated
06/07/2013
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