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Individual

MS. SUSAN MARIE BAINBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
154 HEMPSTEAD ST, 1ST FLOOR, NEW LONDON, CT 06320-5638
(860) 437-0517
(860) 437-0518
Mailing address
154 HEMPSTEAD ST, 1ST FLOOR, NEW LONDON, CT 06320-5638
(860) 437-0517
(860) 437-0518

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/21/2011
Last updated
11/21/2011
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