Individual
LISA A LEOGRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
435 E MAIN ST, ANSONIA, CT 06401-1964
(203) 736-2601
Mailing address
76 DEEPWOOD DR, WATERBURY, CT 06708-2907
(203) 736-2601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001473
CT
Other
Enumeration date
01/22/2007
Last updated
05/29/2008
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