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Individual

SUSAN LEIGH BAUERFELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
200 DANBURY RD, WILTON, CT 06897-4030
(203) 216-3751
Mailing address
PO BOX 581, GEORGETOWN, CT 06829-0581
(203) 216-3751

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003108
CT

Other

Enumeration date
10/24/2012
Last updated
10/24/2012
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