Individual
MR. WARREN CORSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
489 WOLCOTT ST, 39, BRISTOL, CT 06010-6469
(860) 543-2384
Mailing address
489 WOLCOTT ST, 39, BRISTOL, CT 06010-6469
(860) 543-2384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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