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Individual

ITSUANNETTE CANALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MFTA

Contact information

Practice address
2911 DIXWELL AVE STE B-11, HAMDEN, CT 06518-3152
(203) 903-2208
Mailing address
110 BEACON ST, HAMDEN, CT 06514-4011
(203) 715-4106

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2280
CT

Other

Enumeration date
07/07/2020
Last updated
07/07/2020
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