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160 Christian St Oxford CT 06478-1221 | |
(802) 578-3700 | |
(203) 463-4211 |
Full Name | |
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Speciality | Counselor - Professional |
Location | 160 Christian St, Oxford, Connecticut |
Authorized Official Name and Position | Lucrezia Mangione (OWNER, CLINICAL DIRECTOR, LPC, LCPC) |
Authorized Official Contact | 8025783700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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160 Christian St Oxford CT 06478-1221 Ph: (802) 578-3700 | 160 Christian St Oxford CT 06478-1221 Ph: (802) 578-3700 |
NPI Number | 1407415052 |
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Provider Enumeration Date | 06/07/2019 |
Last Update Date | 09/17/2021 |
Certification Date | 09/17/2021 |
Identifier | Type | State | Issuer |
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1407415052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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