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Individual

MRS. RUTH P LALLIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
214 WALLENS HILL, WINSTED, CT 06098-0098
(860) 379-6015
(860) 379-6016
Mailing address
PO BOX 98, 214 WALLENS HILL, WINSTED, CT 06098-0098
(860) 379-6015
(860) 379-6016

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
003085
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140003085CT02
BCBS
CT
01
186568
MHN
CT
Enumeration date
12/27/2006
Last updated
06/03/2010
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