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1255791406
LISA CORSON
BRISTOL, CT
NPI
1255791406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 2910)
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
-- LISA CORSON LPC
53 MUIR AVE
BRISTOL, CT 06010-7215
Phone number: 860-582-7904
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Mailing Address
-- LISA CORSON LPC
53 MUIR AVE
BRISTOL, CT 06010-7215
Phone number: 860-380-7470
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