Individual
LYSSETE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 258-4171
Mailing address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 258-4171
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2832
CT
Other
Enumeration date
03/17/2022
Last updated
04/18/2023
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