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1215427414
KEITH MICHAELSON
FAIRFIELD, CT
NPI
1215427414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CT 1985)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
KEITH MICHAELSON
1525 KINGS HWY STE 206
FAIRFIELD, CT 06824-5321
Phone number: 203-216-4742
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Mailing Address
KEITH MICHAELSON
1525 KINGS HWY STE 206
FAIRFIELD, CT 06824-5321
Phone number: 203-216-4742
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