Individual
GIA SYRACUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 COLLIE BROOK RD, EAST HAMPTON, CT 06424-1642
(860) 227-7600
Mailing address
25 COLLIE BROOK RD, EAST HAMPTON, CT 06424-1642
(860) 227-7600
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
7108
CT
1041C0700X
Clinical Social Worker
Primary
10170
CT
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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