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Individual

MS. MERCEDES MARIA ALICEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
48 WADSWORTH STREET, HARTFORD, CT 06106
(860) 527-1124
(860) 724-2539
Mailing address
49 SUMMER ST, MANCHESTER, CT 06040-4943
(203) 684-0187

Taxonomy

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

Other

Enumeration date
05/19/2010
Last updated
05/19/2010
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