Individual
MRS. SUSAN G RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
420 POST RD W, WESTPORT, CT 06880-4744
(203) 227-7644
(203) 227-0037
Mailing address
420 POST RD W, WESTPORT, CT 06880-4744
(203) 227-7644
(203) 227-0037
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001296
CT
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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