Organization
SPECTRUM FAMILY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E MYERS PASQUINO LCSW (CLINICIAN)
(860) 857-4114
Entity
Organization
Contact information
Practice address
75 GRANITE ST STE 1B, NEW LONDON, CT 06320-5771
(860) 857-4114
Mailing address
75 GRANITE ST STE 1B, NEW LONDON, CT 06320-5771
(860) 857-4114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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