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1235268566
GERALD A FARIS
GLASTONBURY, CT
NPI
1235268566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 001277)
Enumeration Date
2007-03-04
Last Update Date
2007-07-08
Business Address
-- GERALD A FARIS Ph.D.
140 GLASTONBURY BLVD
GLASTONBURY, CT 06033-4402
Phone number: 860-633-7501
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Mailing Address
-- GERALD A FARIS Ph.D.
PO BOX 185417
HAMDEN, CT 06518-0417
Phone number: 203-248-1513
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