Individual
MS. TRACYANN MARIE SPAULDING BOLSTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
58 MISSIONARY RD, CROMWELL, CT 06416-2134
(860) 635-6010
Mailing address
58 MISSIONARY RD, CROMWELL, CT 06416-2134
(860) 635-6010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002277
CT
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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