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Individual

IRENE SHERLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2632
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2632

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001524
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004123840
CT
05
008017939
CT
05
008031626
CT
Enumeration date
06/13/2012
Last updated
06/13/2012
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