Individual
MRS. SUSAN GRACE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 696-9984
(860) 456-0021
Mailing address
82 BENDER RD, LEBANON, CT 06249-1113
(860) 884-4415
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000621
CT
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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