Individual
MARY GOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10 FOREST PARK DR, FARMINGTON, CT 06032-1499
(860) 269-7813
(860) 321-7035
Mailing address
10 FOREST PARK DRIVE, FARMINGTON, CT 06320
(860) 269-7813
(860) 321-7035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
08/30/2017
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