Individual
OWEN MARICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 DURHAM RD STE 19, MADISON, CT 06443-2657
(860) 876-9843
Mailing address
107 OLD CART RD, HADDAM, CT 06438-1271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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