Individual
MRS. LAURA J DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 FRONT ST, PUTNAM, CT 06260-1605
(860) 303-3710
Mailing address
47 BUNNY LN, BROOKLYN, CT 06234-3302
(860) 303-3710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CT
Other
Enumeration date
10/24/2017
Last updated
05/13/2020
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