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1407070923
THERESA PORTER
MERIDEN, CT
NPI
1407070923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
-- THERESA PORTER psy
883 PADDOCK AVE
MERIDEN, CT 06450-7044
Phone number: 860-223-3767
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Mailing Address
-- THERESA PORTER psy
883 PADDOCK AVE
MERIDEN, CT 06450-7044
Phone number: 860-223-3767
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