Individual
DR. KAREN LUCILLE HANSCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
47 WATER ST. #203, MYSTIC, CT 06355
(860) 516-0222
Mailing address
47 WATER ST #203, MYSTIC, CT 06355
(860) 516-0222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003489
CT
Other
Enumeration date
03/29/2010
Last updated
05/18/2016
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