Individual
KEIKO MUTO-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
393 COLUMBUS AVENUE, NEW HAVEN, CT 06519
(203) 503-3075
Mailing address
759 WASHINGTON AVE, WEST HAVEN, CT 06516-3736
(203) 931-9095
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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