Individual
ALBERT WILLIAM GUILLORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
100 FAIR ST, BRISTOL, CT 06010-5532
(860) 584-8336
Mailing address
100 FAIR ST, BRISTOL, CT 06010-5532
(860) 584-8336
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000030
CT
Other
Enumeration date
01/29/2007
Last updated
09/07/2011
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