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1699955856
PHYLLIS LEE GORDON
WALLINGFORD, CT
NPI
1699955856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CT 000908)
Enumeration Date
2007-11-05
Last Update Date
2007-11-05
Business Address
Mrs. PHYLLIS LEE GORDON LMFT
187 N MAIN ST
WALLINGFORD, CT 06492-3721
Phone number: 203-269-1300
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Mailing Address
Mrs. PHYLLIS LEE GORDON LMFT
61 CLIFFSIDE DR
WALLINGFORD, CT 06492-1923
Phone number: 203-269-5094
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