Individual
AMY RANDALL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 HYDE PARK RD, STAFFORD SPRINGS, CT 06076-1507
(860) 570-1232
Mailing address
201 BLOOMFIELD AVE, WEST HARTFORD, CT 06117-1503
(860) 570-1232
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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