Individual
MICHELLE CASERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 ACORN LN, SOUTHPORT, CT 06890-1292
(203) 314-6047
Mailing address
159 ACORN LN, SOUTHPORT, CT 06890-1292
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002979
CT
Other
Enumeration date
02/14/2022
Last updated
07/31/2024
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