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Individual

TINA MARIE LEBRUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
6 E MAIN ST, WESTPORT, CT 06880-3769
(212) 560-7575
Mailing address
6 E MAIN ST, WESTPORT, CT 06880-3769

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
305
NY
106H00000X
Marriage & Family Therapist
Primary
894
CT

Other

Enumeration date
04/23/2019
Last updated
04/23/2019
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