Individual
DEBRA J KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
412 W AVON RD, AVON, CT 06001-2500
(860) 269-0510
Mailing address
5 WAGON HILL LN, AVON, CT 06001-2419
(860) 751-9213
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001442
CT
Other
Enumeration date
04/10/2011
Last updated
04/10/2011
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