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Individual

LUCAS PETER GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
77 HARTLAND ST STE 108, EAST HARTFORD, CT 06108-3259
(888) 754-0399
Mailing address
812 TOWN COLONY DR, MIDDLETOWN, CT 06457-5908
(978) 764-4120

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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