Individual
MRS. KAREN M GRESHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
770 SAYBROOK RD, BLD B, MIDDLETOWN, CT 06457-4739
(860) 347-3466
(860) 343-5391
Mailing address
770 SAYBROOK RD, BLD B, MIDDLETOWN, CT 06457-4739
(860) 347-3466
(860) 343-5391
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
643
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410000643CT05
ANTHEM BC
—
Enumeration date
12/14/2005
Last updated
07/08/2007
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