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Individual

JOHN TENBUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5 PERRYRIDGE RD, ARC 3RD FLOOR, GREENWICH, CT 06830-4608
(203) 863-3570
Mailing address
5 PERRYRIDGE RD, ARC 3RD FLOOR, GREENWICH, CT 06830-4608

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008161
CT
1041C0700X
Clinical Social Worker
149008166
IL

Other

Enumeration date
12/19/2012
Last updated
12/19/2012
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