Individual
MS. DEBORAH ERNESTINE BRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
581 POQUONOCK AVE, WINDSOR, CT 06095-2202
(860) 688-7211
Mailing address
581 POQUONOCK AVE, WINDSOR, CT 06095-2202
(860) 688-7211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001872
CT
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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