Individual
MISS EDISTINE ROBINSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 LOMBARD ST, NEW HAVEN, CT 06513-2910
(203) 787-2207
Mailing address
17 MYRTLE AVE FL 2, WEST HAVEN, CT 06516-3650
(203) 600-4756
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
03/03/2016
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