Individual
DR. ELLEN KOCH UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
318 SILVER SPRING RD, RIDGEFIELD, CT 06877-5417
(203) 431-4948
Mailing address
318 SILVER SPRING RD, RIDGEFIELD, CT 06877-5417
(203) 431-4948
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
175131
NY
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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