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1811123912
MICHELLE STALLWORTH
NEW LONDON, CT
NPI
1811123912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 000432)
Enumeration Date
2009-06-03
Last Update Date
2022-09-15
Business Address
MICHELLE STALLWORTH LPC
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-444-5125
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Mailing Address
MICHELLE STALLWORTH LPC
2 LORENZ INDUSTRIAL PARKWAY
LEDYARD, CT 06339-1946
Phone number: 860-464-3045
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