Individual
ALEXANDER ROBERT BRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
25 HOUSATONIC AVE, MILFORD, CT 06460-3417
(203) 693-1811
Mailing address
25 HOUSATONIC AVE, MILFORD, CT 06460-3417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000696
CT
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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