Individual
MR. BARRY CHESTER GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
187 N MAIN ST, WALLINGFORD, CT 06492-3721
(203) 269-1300
Mailing address
187 N MAIN ST, WALLINGFORD, CT 06492-3721
(203) 269-1300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001254
CT
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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