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Individual

CHRISTINE DWYER BRUZINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
755 MAIN ST, BUILDING 8, MONROE, CT 06468
(203) 400-1178
Mailing address
36 REGENT TERRRACE,, MILFORD, CT 06460-4950
(204) 400-1178

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001622
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
753018
CT
Enumeration date
10/18/2007
Last updated
01/22/2020
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