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Individual

KAMILLA GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
28 MAIN ST, ESSEX, CT 06426-1100
(860) 767-1517
(860) 767-7703
Mailing address
28 MAIN STREET, ESSEX, CT 06426
(860) 767-1517
(860) 767-7703

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001225
CT

Other

Enumeration date
12/06/2007
Last updated
12/06/2007
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