Organization
BREATHE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIA DILORETO LMFT (OWNER)
(860) 796-8003
Entity
Organization
Contact information
Practice address
99 MAIN ST, SOUTH WINDSOR, CT 06074-3907
(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
Enumeration date
08/20/2007
Last updated
08/20/2007
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