Individual
MRS. NANCY VAIL ANSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
616 GOLDSTAR HWY, GROTON, CT 06340
(860) 449-0200
(860) 449-1954
Mailing address
616 GOLDSTAR HWY, GROTON, CT 06340
(860) 449-0200
(860) 449-1954
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001394
CT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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