Individual
KELLY V MADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
42 CHURCH ST, TORRINGTON, CT 06790
(860) 626-1112
(860) 626-1118
Mailing address
42 CHURCH ST, TORRINGTON, CT 06790
(860) 626-1112
(860) 626-1118
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001191
CT
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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