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Individual

AMY A GORIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
18 LEDGEBROOK DR, MANSFIELD CENTER, CT 06250-1664
(860) 634-1925
Mailing address
42 MICHELLE LN, MANSFIELD CENTER, CT 06250-1652

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
003020
CT

Other

Enumeration date
08/23/2010
Last updated
08/27/2010
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