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Individual

LYNORE S WILLIAMS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2003
(860) 646-1222
(860) 647-6829
Mailing address
110 MARVIN RD, COLCHESTER, CT 06415-1913
(860) 537-2136

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11198
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11198
CERTIFIED THERAPEUTIC REC
CT
Enumeration date
04/19/2006
Last updated
07/08/2007
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