Individual
MARY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
489 GOLD STAR HWY, GROTON, CT 06340-6227
(860) 446-0600
Mailing address
489 GOLD STAR HWY STE 209, GROTON, CT 06340-6227
(860) 446-0600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CT 000598
CT
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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