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1083612477
JULIAN FORD
FARMINGTON, CT
NPI
1083612477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CT 002218)
Enumeration Date
2005-07-11
Last Update Date
2022-07-11
Business Address
JULIAN FORD PHD
10 TALCOTT NOTCH RD
FARMINGTON, CT 06032-1800
Phone number: 860-679-6700
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Mailing Address
JULIAN FORD PHD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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