Individual
MRS. VIVIAN ILEANA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
896 ASYLUM AVE, HARTFORD, CT 06105-1901
(860) 522-8241
(860) 524-8143
Mailing address
896 ASYLUM AVE, HARTFORD, CT 06105-1901
(860) 522-8241
(860) 524-8143
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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