Individual
AMY EVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5537
Mailing address
24 ROSE HILL RD, PORTLAND, CT 06480-1218
(860) 342-2128
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000865
CT
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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