Individual
SUSAN KUDRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 JUDD AVE, BETHEL, CT 06801-1538
(203) 733-9103
(203) 744-0801
Mailing address
35 JUDD AVE, BETHEL, CT 06801-1538
(203) 733-9103
(203) 744-0801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000637
CT
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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