Individual
JUANITA CRISPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
693 BLOOMFIELD AVE, BLOOMFIELD, CT 06002-2489
(860) 243-6584
(860) 243-6591
Mailing address
58 TAYLOR DR, HARTFORD, CT 06120-1019
(860) 416-0678
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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