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CORINNE G THURSTAN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1124068143

Individual Registrant:
 CORINNE G THURSTAN LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
179 GRAYVILLE RD  AMSTON, CT 06231-1614 US
Tel: 860-377-7773  Fax: 860-228-5232

Contact information for business:
179 GRAYVILLE RD  AMSTON, CT 06231-1614 US
Tel: 860-377-7773  Fax: 860-228-5232

Registration Information:
NPI: 1124068143
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT003970

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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