Individual
MS. ELIZABETH ROSE DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, R-DMT
Contact information
Practice address
4021 MAIN ST, 1F, STRATFORD, CT 06614-3568
(207) 415-3842
Mailing address
156 GRASMERE AVE, APT 1, FAIRFIELD, CT 06824-6153
(207) 415-3842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002611
CT
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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