Individual
INDIA BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 CHURCH ST STE 4L, YALESVILLE, CT 06492-2356
(203) 678-4946
Mailing address
PO BOX 2026, WALLINGFORD, CT 06492-7326
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002977
CT
Other
Enumeration date
03/27/2014
Last updated
11/06/2024
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