Individual
LUKE DERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 N MAIN ST, DAYVILLE, CT 06241
(860) 774-2020
Mailing address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 774-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2018
Last updated
11/01/2019
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