Individual
EBONI SHANICE POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
384 PRATT ST, MERIDEN, CT 06450-8627
(203) 235-5767
(203) 238-2010
Mailing address
384 PRATT ST, MERIDEN, CT 06450-8627
(203) 235-5767
(203) 238-2010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2868
CT
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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