Individual
EMI FUKUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
731 MAIN ST STE 122, MONROE, CT 06468-2872
(203) 261-7090
Mailing address
75 HOMESTEAD PL # 1, NEW ROCHELLE, NY 10801-4307
(914) 380-2352
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
003650
CT
Other
Enumeration date
01/23/2019
Last updated
10/28/2022
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