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Organization

KERITH BROOK CFC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL RIVERA (OWNER)
(607) 524-4249
Entity
Organization

Contact information

Practice address
27 PATRIOTS SQ, MANSFIELD CENTER, CT 06250-1517
(860) 752-4249
Mailing address
27 PATRIOTS SQ, MANSFIELD CENTER, CT 06250-1517

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/19/2022
Last updated
01/19/2022
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