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NPI Code Detail

MEDICARE: ANDREA JEANNE SWEET MS, MFT

MEDICARE: ANDREA JEANNE SWEET MS, MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1093848541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA JEANNE SWEET MS, MFT
Provider Business Mailing Address
First Line : 258 S MAIN ST
Second Line :
City : THOMASTON
State : CT
Zip : 06787-1815
Country : US
Telephone Number : 860-283-8224
Fax Number : 860-283-6079
Provider Business Practice Location Address
First Line : 258 S MAIN ST
Second Line :
City : THOMASTON
State : CT
Zip : 06787-1815
Country : US
Telephone Number : 860-283-8224
Fax Number : 860-283-6079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/08/2007

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