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Individual

VICTORIA SOUSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
391 POMFRET ST, PUTNAM, CT 06260-1852
(860) 963-4971
(860) 963-4979
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1587
(860) 731-5522
(860) 731-5536

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/26/2019
Last updated
07/22/2024
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