Individual
PATRICK LIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
144 UNION ST, DEEP RIVER, CT 06417-1749
(860) 682-5231
Mailing address
144 UNION ST, DEEP RIVER, CT 06417-1749
(860) 682-5231
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001312
CT
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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