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Individual

BRIAN DAVID FAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW LCSW

Contact information

Practice address
251 WESTBROOK ROAD, ESSEX, CT 06426
(860) 767-1277
(860) 767-7712
Mailing address
251 WESTBROOK ROAD, ESSEX, CT 06426
(860) 767-1277
(860) 767-7712

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW3988
CT

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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