Individual
DR. LAWRENCE WILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 WINGED FOOT BLVD, BLOOMFIELD, CT 06002-2388
(860) 904-5599
Mailing address
8 WINGED FOOT BLVD, BLOOMFIELD, CT 06002-2388
(860) 904-5599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20594
CT
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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