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MS. SUSAN MARIE BAINBRIDGE M.S.

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1528335445

Individual Registrant:
MS. SUSAN MARIE BAINBRIDGE M.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
154 HEMPSTEAD ST 1ST FLOOR NEW LONDON, CT 06320-5638 US
Tel: 860-437-0517  Fax: 860-437-0518

Contact information for business:
154 HEMPSTEAD ST 1ST FLOOR NEW LONDON, CT 06320-5638 US
Tel: 860-437-0517  Fax: 860-437-0518

Registration Information:
NPI: 1528335445
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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