Individual
BETSY SUZANNE AURAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
467 REDDING RD, FAIRFIELD, CT 06824-1932
(203) 394-3827
Mailing address
467 REDDING RD, FAIRFIELD, CT 06824-1932
(203) 394-3827
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1915
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720586738
—
CT
Enumeration date
03/13/2018
Last updated
06/16/2018
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