Individual
MRS. ELAINE BARBARA DESILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
87 BROADWAY, COLCHESTER, CT 06415
(860) 537-5280
(860) 228-0669
Mailing address
59 BUTTONWOOD RD, HEBRON, CT 06248
(860) 228-3412
(860) 228-0669
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000822
CT
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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