Individual
JUDITH STANWICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 CENTER ST, MANCHESTER, CT 06040-3926
(860) 646-3888
(860) 645-4132
Mailing address
12 ALLEN RD, COVENTRY, CT 06238-2601
(860) 742-6451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
05/04/2018
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