Individual
MELISSA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 SKYTOP DR, SANDY HOOK, CT 06482-1504
(203) 837-0063
Mailing address
12 SKYTOP DR, SANDY HOOK, CT 06482-1504
(203) 837-0063
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003241
CT
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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