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Individual

LAUREN M HICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
121 WAKELEE AVE, ANSONIA, CT 06401-1198
(203) 503-3650
(203) 503-3659
Mailing address
121 WAKELEE AVE, ANSONIA, CT 06401-1198
(203) 503-3650
(203) 503-3659

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002212
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004235918
CT
Enumeration date
08/12/2010
Last updated
08/12/2015
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