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Organization

DEBORA A. KUSTRON, PSY.D., LLC

Active
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Organization

DEBORA A. KUSTRON, PSY.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBORA A KUSTRON PSY.D. (MANAGER)
(860) 683-2352
Entity
Organization

Contact information

Practice address
61 BLOOMFIELD AVE, 2ND FLOOR, WINDSOR, CT 06095-2809
(860) 683-2352
Mailing address
61 BLOOMFIELD AVE, 2ND FLOOR, WINDSOR, CT 06095-2809
(860) 683-2352

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002140
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316087950
CT
Enumeration date
07/22/2011
Last updated
07/22/2011
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