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Individual

PUTITA ST ONGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
331 WETHERSFIELD AVE, HARTFORD, CT 06114-1420
(860) 236-4511
Mailing address
331 WETHERSFIELD AVE, HARTFORD, CT 06114-1420
(860) 236-4511

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8121
CA
Enumeration date
08/14/2014
Last updated
03/09/2016
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