Individual
MRS. JAN FITZGERALD BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 HALLS RD UNIT C, OLD LYME, CT 06371
(860) 304-9865
(860) 395-3189
Mailing address
322 MAIN ST, OLD SAYBROOK, CT 06475-2350
(860) 395-3190
(860) 395-3189
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000884
CT
Other
Enumeration date
03/29/2007
Last updated
12/05/2019
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