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Organization
MANA PSYCHOLOGICAL SERVICES LLC
Active
Organization
MANA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA ANNE BOUTIN LPC (OWNER AND LPC)
(203) 240-7075
Entity
Organization
Contact information
Practice address
10 N MAIN ST STE 305, WEST HARTFORD, CT 06107-1901
(203) 240-7075
Mailing address
10 N MAIN ST STE 305, WEST HARTFORD, CT 06107-1901
(203) 240-7075
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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