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Individual
SANDRA ELIZABETH CARLO
Active
Individual
SANDRA ELIZABETH CARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001010
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304198
MHN PROVIDER ID
CT
01
—
410001010CT06
ANTHEM BCBS PROVIDER ID
CT
01
—
62-73452
UNITED HEALTHCARE ID
CT
01
—
7251549
AETNA PROVIDER ID
CT
01
—
P3179321
OXFORD HEALTH PROVIDER ID
CT
Enumeration date
12/19/2006
Last updated
07/08/2007
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