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1073961173
THOMAS KENNETH RICHARD
WALLINGFORD, CT
NPI
1073961173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CT 1814)
Enumeration Date
2016-05-31
Last Update Date
2024-03-11
Business Address
Mr. THOMAS KENNETH RICHARD
45 FAIR ST
WALLINGFORD, CT 06492-4208
Phone number: 203-305-2861
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Mailing Address
Mr. THOMAS KENNETH RICHARD
17 WEYBOSSET ST
SHELTON, CT 06484-4042
Phone number: 203-305-2861
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