Individual
DR. ELIZABETH JO-AN CRACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
161 MASHMOQUET RD, POMFRET CENTER, CT 06259-0191
(860) 928-5904
Mailing address
86 PROSPECT ST, PUTNAM, CT 06260-2113
(860) 963-7483
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002485
CT
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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