Individual
COURTNEY PHILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 FERN ST, GLASTONBURY, CT 06033-2824
(860) 593-0456
Mailing address
115 FERN ST, GLASTONBURY, CT 06033-2824
(860) 593-0456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2016
Last updated
03/03/2023
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