Individual
JEFFREY F LIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 TOWER AVE, SUITE 301, HARTFORD, CT 06112-1260
(860) 714-2750
(860) 714-8591
Mailing address
675 TOWER AVENUE, SUITE 301, HARTFORD, CT 06112-1256
(860) 714-2750
(860) 714-8591
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000768
CT
Other
Enumeration date
01/22/2007
Last updated
07/09/2007
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