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1770827677
LISA JANE BACKUS
TOLLAND, CT
NPI
1770827677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 003187)
Enumeration Date
2012-11-15
Last Update Date
2014-10-03
Business Address
Dr. LISA JANE BACKUS PsyD
129 TOLLAND STAGE RD SUITE 1
TOLLAND, CT 06084-2342
Phone number: 860-454-0611
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Mailing Address
Dr. LISA JANE BACKUS PsyD
PO BOX 537
WILLINGTON, CT 06279-0537
Phone number: 860-837-4995
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