Individual
MS. JUDITH C DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
682 PROSPECT AVE, HARTFORD, CT 06105-4238
(860) 524-6598
Mailing address
682 PROSPECT AVE, HARTFORD, CT 06105-4238
(860) 524-6598
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
000451
CT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
E32090
CT
Other
Enumeration date
08/26/2007
Last updated
08/26/2007
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