Individual
MS. ANA MARIA LIZCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
Mailing address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1679768725
CT
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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