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Individual

CAROL A THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
29 CHESTERFIELD ROAD, EAST LYME, CT 06333
(860) 739-6974
(860) 739-5290
Mailing address
PO BOX 94, 29 CHESTERFIELD ROAD, EAST LYME, CT 06333-0094
(860) 739-6974
(860) 739-5290

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000361
CT

Other

Enumeration date
06/14/2006
Last updated
07/08/2007
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