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Individual

ELLENDALE MCCOLLAM HOFFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.MIN.

Contact information

Practice address
8 SHARON LN, OLD SAYBROOK, CT 06475-2037
(860) 388-3332
Mailing address
8 SHARON LN, OLD SAYBROOK, CT 06475-2037
(860) 388-3332

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
103T00000X
Psychologist
2637
MA
106H00000X
Marriage & Family Therapist
Primary
000378
CT

Other

Enumeration date
04/17/2008
Last updated
04/17/2008
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