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Individual

MR. JOHN P. CARBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
65 ALPHA AVE, STONINGTON, CT 06378-1115
(860) 535-7210
Mailing address
65 ALPHA AVENUE, STONINGTON, CT 06378-1115
(860) 535-7210

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000569
CT
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000569
MARRIAGE/FAMILY THERAPIST
CT
01
976
MARRIAGE/FAMILY THERAPIST
MA
Enumeration date
07/05/2006
Last updated
07/08/2007
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