Individual
SAMARIA ERICA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. MFT
Contact information
Practice address
88 GRANDVIEW AVE, WATERBURY, CT 06708-2509
(203) 573-7265
Mailing address
88 GRANDVIEW AVE, WATERBURY, CT 06708-2509
(203) 573-7265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
1365
CT
Other
Enumeration date
08/12/2008
Last updated
10/28/2019
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