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Individual

MS. LESLIE PAIGE HAUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
27 HARTFORD TPKE STE 208K, VERNON, CT 06066-5245
(860) 713-3364
Mailing address
1 MAPLE ST UNIT 26, ELLINGTON, CT 06029-3337
(860) 713-3364

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000685
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004181517
CT
01
410000685CT03
BLUE CROSS, BLUE SHIELD
CT
Enumeration date
09/05/2006
Last updated
10/01/2021
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