Individual
MR. THOMAS KENNETH RICHARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 FAIR ST, WALLINGFORD, CT 06492-4208
(203) 305-2861
Mailing address
17 WEYBOSSET ST, SHELTON, CT 06484-4042
(203) 305-2861
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1814
CT
Other
Enumeration date
05/31/2016
Last updated
03/11/2024
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