Individual
STACEY L CASPARIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 POST RD STE 206, SOUTHPORT, CT 06890-1267
(203) 970-7896
Mailing address
2425 POST RD STE 206, SOUTHPORT, CT 06890-1267
(203) 970-7896
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002002
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
07/10/2018
Last updated
08/28/2023
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