Individual
MARY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
55 WEST MAIN STREET, WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410, WATERBURY, CT 06702
(203) 805-6408
(203) 805-6432
Mailing address
55 WEST MAIN STREET, WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410, WATERBURY, CT 06702
(203) 805-6408
(203) 805-6432
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
002425
CT
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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