Individual
MARY ANN THOMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
219 BROAD ST, DANIELSON, CT 06239-3004
(860) 779-2402
Mailing address
219 BROAD ST, PO BOX 292, DANIELSON, CT 06239-0292
(860) 779-2402
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000482
CT
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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