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Individual

MS. ELIZABETH M PHELAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,LPC

Contact information

Practice address
96 WICKETT ST, NEW HARTFORD, CT 06057
(860) 738-8362
(860) 266-4687
Mailing address
PO BOX 1068, NEW HARTFORD, CT 06057-0980
(860) 738-8362
(860) 266-4687

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001643
CT

Other

Enumeration date
03/20/2008
Last updated
03/20/2008
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