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Individual

JULIA BROCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15 BERKSHIRE RD, SANDY HOOK, CT 06482-1361
(203) 270-4335
Mailing address
135 CARRIAGE DR, SOUTHBURY, CT 06488-1209
(203) 558-8028

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2368
CT

Other

Enumeration date
10/12/2021
Last updated
10/12/2021
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