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Individual

DR. MARK HANS LUNTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
147 UNION ST, VERNON ROCKVILLE, CT 06066-3025
(860) 875-1875
Mailing address
14 W STREET EXT, ANDOVER, CT 06232-1717
(860) 742-6583

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002107
CT

Other

Enumeration date
04/27/2007
Last updated
07/08/2007
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