Individual
ELISABETH PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1118
(203) 612-5880
Mailing address
28 STEVENS ST, MILFORD, CT 06460-7854
(203) 243-1724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002895
CT
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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