Individual
MELISSA DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 S CANAAN RD, CANAAN, CT 06018-2544
(860) 824-1397
Mailing address
5A ECHO LN S, SHERMAN, CT 06784-2527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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