Individual
THEANVY KUOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 NEW BRITAIN AVENUE, SUITE 202, WEST HARTFORD, CT 06110-2440
(860) 561-3345
(860) 561-3538
Mailing address
1125 NEW BRITAIN AVENUE, SUITE 202, WEST HARTFORD, CT 06110-2440
(860) 561-3345
(860) 561-3538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000638
CT
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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