Individual
PATRICIA AGNES IERACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
670 MAIN ST S, WOODBURY, CT 06798-3738
(203) 263-3175
Mailing address
114 LYDALE PL, MERIDEN, CT 06450-6100
(860) 874-1284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5587
CT
Other
Enumeration date
06/23/2022
Last updated
06/24/2022
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