HEATHER LEIGH BLACK

AVON, CT
NPI1124627575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CT  4255)
Enumeration Date2020-10-17
Last Update Date2020-10-17
Business Address
HEATHER LEIGH BLACK LPCA
12 LAKEVIEW BLVD
AVON, CT 06001-3442
Phone number: 860-559-6543
Mailing Address
HEATHER LEIGH BLACK LPCA
12 LAKEVIEW BLVD
AVON, CT 06001-3442
Phone number: 860-559-6543
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