Individual
SAMANTHA LOVELL-DEOCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
247 PALMER STREET EXT, NORWICH, CT 06360-4832
(917) 589-1762
Mailing address
247 PALMER STREET EXT, NORWICH, CT 06360-4832
(917) 589-1762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4293
CT
Other
Enumeration date
04/16/2020
Last updated
04/27/2020
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