Individual
MR. WORDY SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
127 SIDNEY AVE, WEST HARTFORD, CT 06110-1030
(860) 869-7985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001547
CT
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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