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Organization
LIVE BY THE SUN FEEL BY THE MOON
Active
Organization
LIVE BY THE SUN FEEL BY THE MOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA GOLDSTEIN M.S., LPC (LICENSED PROFESSIONAL COUNSELOR)
(860) 716-5318
Entity
Organization
Contact information
Practice address
128 GARDEN ST, FARMINGTON, CT 06032-2254
(860) 716-5318
(860) 231-8006
Mailing address
128 GARDEN ST, FARMINGTON, CT 06032-2254
(860) 716-5318
(860) 231-8006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003036
CT
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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