Individual
LESLIE EMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 POST RD, DARIEN, CT 06820-3608
(917) 744-0432
Mailing address
37 GODFREY RD W, WESTON, CT 06883-1303
(917) 744-0432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001447
CT
Other
Enumeration date
08/27/2015
Last updated
08/28/2015
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