Individual
RANDOLPH BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
40 CONNECTICUT AVE, NORWICH, CT 06360-1502
(860) 889-7274
Mailing address
40 CONNECTICUT AVE, NORWICH, CT 06360-1502
(860) 889-7274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3400
CT
Other
Enumeration date
03/13/2018
Last updated
03/17/2018
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