Individual
MRS. STACIA LYNNE DILORETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
384 MERROW RD STE D, TOLLAND, CT 06084-3957
(860) 796-8003
Mailing address
PO BOX 1081, MANCHESTER, CT 06045-1081
(860) 796-8003
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000978
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004249175
—
CT
Enumeration date
09/20/2006
Last updated
10/14/2009
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