Individual
RICHARD MATTHEW CARRAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 CARLYNN DRIVE, FAIRFIELD, CT 06824
(203) 228-4208
Mailing address
117 CARLYNN DR, FAIRFIELD, CT 06824-6812
(203) 228-4208
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7137
CT
Other
Enumeration date
08/05/2017
Last updated
07/21/2022
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