Individual
ESSENCE DIVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 4462, WATERBURY, CT 06704-0462
(203) 510-0289
Mailing address
PO BOX 4462, WATERBURY, CT 06704-0462
(203) 510-0289
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CT
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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