Individual
ELIZABETH GALLOGLY BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 MARSHALL RIDGE RD, NEW CANAAN, CT 06840-6135
(203) 858-0402
Mailing address
73 MARSHALL RIDGE RD, NEW CANAAN, CT 06840-6135
(203) 858-0402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002732
CT
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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