Individual
TONI LYNN SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(860) 793-3500
Mailing address
103 VINCENT DR, NEWINGTON, CT 06111-2742
(860) 805-5266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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