Individual
LILY ANNE MUDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
410 CAMPBELL AVE, WEST HAVEN, CT 06516-5014
(203) 814-2953
Mailing address
75 FLORENCE ST, STRATFORD, CT 06614-2331
(203) 814-2953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5854
CT
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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