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Individual

MS. SIMONE A LONGORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
310 FLANDERS RD # 461, EAST LYME, CT 06333-1758
(860) 500-5029
Mailing address
39 1/2 WEDGEWOOD DR UNIT 5029, JEWETT CITY, CT 06351-2439
(860) 800-5029

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
006840
CT

Other

Enumeration date
01/19/2022
Last updated
11/04/2024
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