Individual
IVANETE VILAS BOAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7 VAUXHALL ST, NEW LONDON, CT 06320-5711
(860) 442-2797
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6290
(860) 443-2896
(860) 442-5909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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