Individual
MS. JUDITH MANGAN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
44 WESTSIDE RD, WOODBURY, CT 06798-2703
(203) 263-2919
(203) 263-7612
Mailing address
44 WESTSIDE RD, WOODBURY, CT 06798-2703
(203) 263-2919
(203) 263-7612
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000018
CT
Other
Enumeration date
02/24/2008
Last updated
02/24/2008
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