Individual
JILL LORENZ CARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LLC
Contact information
Practice address
95 HARBOR RD, SOUTHPORT, CT 06890-1316
(203) 339-1855
Mailing address
95 HARBOR RD, SOUTHPORT, CT 06890-1316
(203) 339-1855
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001432
CT
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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