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Individual

THURSTON DWIGHT MOORE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
60 CONNOLLY PKWY BLDG 2B, HAMDEN, CT 06514-2593
(203) 909-6705
Mailing address
60 CONNOLLY PKWY BLDG 2B, HAMDEN, CT 06514-2593
(203) 909-6705

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8378
CT

Other

Enumeration date
06/21/2024
Last updated
06/21/2024
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