Individual
MARA M HALLISEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
49 OLD PEWTER LN, WETHERSFIELD, CT 06109-3134
(860) 306-2986
Mailing address
49 OLD PEWTER LN, WETHERSFIELD, CT 06109-3134
(860) 306-2986
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001698
CT
Other
Enumeration date
11/10/2014
Last updated
01/08/2015
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