Individual
RYAN BUZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Mailing address
24 ELSIE DR, MANCHESTER, CT 06042-3432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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