ALLYSON LEIGH LICESE

MIDDLETOWN, CT
NPI1033686514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: CT  4557)
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2018-11-01
Last Update Date2020-10-26
Business Address
ALLYSON LEIGH LICESE
28 RUSSETT LN
MIDDLETOWN, CT 06457-5803
Phone number: 203-206-3538
Mailing Address
ALLYSON LEIGH LICESE
21 MEEKER RD
SOUTHINGTON, CT 06489-2234
Phone number: 203-206-3538
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