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Individual

MARY ELIZABETH MUSCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
95 N MAIN ST, WATERBURY, CT 06702-1409
(203) 573-0264
(203) 755-4835
Mailing address
236 PIERREMOUNT AVE, NEW BRITAIN, CT 06053-2366
(860) 826-5987
(860) 826-5987

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000344
CT
106H00000X
Marriage & Family Therapist
001104
CT

Other

Enumeration date
09/20/2006
Last updated
01/19/2010
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