Individual
RYAN E ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 POMFRET ST, PUTNAM, CT 06260-1833
(860) 963-7917
(860) 963-0015
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2733
CT
Other
Enumeration date
05/08/2012
Last updated
04/16/2015
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