Individual
SHARON D MAYOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1171 MAIN ST, COVENTRY, CT 06238-3116
(860) 613-5157
Mailing address
20 SUNSET LN APT 3E, BOLTON, CT 06043-7332
(860) 305-6157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3420
CT
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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