Individual
LARA SKIRVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 756-1311
Mailing address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 756-1311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002044
CT
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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