Individual
KURTIS GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
53 UNQUOWA PL, FAIRFIELD, CT 06824-5058
(716) 450-4517
Mailing address
42 BEACH DR, PROSPECT, CT 06712-1603
(716) 450-4517
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1835
CT
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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