Individual
ALLISON DENICE TABLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1011 HOPE ST FL 2, STAMFORD, CT 06907-2121
(203) 539-1541
Mailing address
1011 HOPE ST FL 2, STAMFORD, CT 06907-2121
(203) 539-1541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002502
CT
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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