Individual
AMANDA WIRAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
54 SQUASH HOLLOW RD, NEW MILFORD, CT 06776-5403
(203) 460-0584
Mailing address
54 SQUASH HOLLOW RD, NEW MILFORD, CT 06776-5403
(203) 460-0584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5401
CT
Other
Enumeration date
02/15/2022
Last updated
12/04/2023
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