Individual
MS. STACEY LYNN MASTERGEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MFT
Contact information
Practice address
271 TREMONT ST, NEW BRITAIN, CT 06051-1120
(860) 614-3419
(860) 356-7104
Mailing address
271 TREMONT ST, NEW BRITAIN, CT 06051-1120
(860) 614-3419
(860) 356-7104
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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