Individual
MS. LISA MICHELLE SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1115 MAIN ST STE 702, BRIDGEPORT, CT 06604-4406
(203) 334-5500
Mailing address
72 READ ST, BRIDGEPORT, CT 06607-2016
(203) 368-2769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0001781
CT
Other
Enumeration date
12/27/2008
Last updated
12/27/2008
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