Organization
LIFESTAGES CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN DAYTON FITZGERALD PC (COUNSELOR)
(860) 267-1597
Entity
Organization
Contact information
Practice address
15 COLLIE BROOK RD, EAST HAMPTON, CT 06424-1642
(860) 267-1597
(860) 267-1597
Mailing address
15 COLLIE BROOK RD, EAST HAMPTON, CT 06424-1642
(860) 267-1597
(860) 267-1597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000949
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000949CT02
ANTHEM
CT
Enumeration date
12/01/2008
Last updated
12/01/2008
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