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Individual

MR. GARY ARTHUR HIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
50 WATERBURY RD, 2C, PROSPECT, CT 06712-1258
(203) 768-1021
(203) 768-1021
Mailing address
50 WATERBURY RD, 2C, PROSPECT, CT 06712-1258
(203) 769-1021
(203) 768-1021

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004212
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004188365
CT
Enumeration date
07/12/2006
Last updated
06/14/2010
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