Individual
BARBARA SHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
Mailing address
415 MAIN STREET, WEST HAVEN, CT 06516
(203) 931-1184
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001345
CT
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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