Organization
ML THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU GRAHAM APRN (MEMBER LLC)
(860) 612-0432
Entity
Organization
Contact information
Practice address
14 CEDAR ST, NEW BRITAIN, CT 06052-1302
(860) 612-0432
(860) 612-0087
Mailing address
14 CEDAR ST, NEW BRITAIN, CT 06052-1302
(860) 612-0432
(860) 612-0087
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003146
CT
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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