Individual
MICHAEL AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
678 CHASE PARKWAY, WATERBURY, CT 06704
(860) 733-3829
Mailing address
678 CHASE PARKWAY, WATERBURY, CT 06704
(860) 733-3829
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001211
CT
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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