Individual
LAURA EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1599 UPPER MAPLE ST, DAYVILLE, CT 06241-1554
(860) 779-6700
Mailing address
PO BOX 326, TOLLAND, CT 06084-0326
(860) 716-6413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CT
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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