Individual
MS. ROBERTA M GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
71 HAYNES ST., MANCHESTER MEMORIAL, MANCHESTER, CT 06040-4131
(860) 647-6827
(860) 533-3452
Mailing address
71 HAYNES ST., MANCHESTER MEMORIAL, MANCHESTER, CT 06040-4131
(860) 647-6827
(860) 533-3452
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001279
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025177
—
CT
Enumeration date
11/19/2011
Last updated
12/11/2014
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