Individual
MS. SUSAN LEWIS LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
142 NORTH ST, RIDGEFIELD, CT 06877-2528
(203) 438-1951
Mailing address
142 NORTH ST, RIDGEFIELD, CT 06877-2528
(203) 438-1951
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000336
CT
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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