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Individual

MS. BERNICE V MALACHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1310 MAIN ST, WILLIMANTIC, CT 06226-1910
(860) 731-5522
(860) 731-5536
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 697-3351
(607) 315-5368

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004235918
CT
Enumeration date
04/03/2014
Last updated
06/18/2021
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