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Individual

MS. DESIREE A SCIME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, LADC

Contact information

Practice address
27 SIEMON COMPANY DR STE 110W, WATERTOWN, CT 06795-2654
(203) 668-1926
(203) 583-3927
Mailing address
387 HIGHLAND DR, WATERBURY, CT 06708-3651
(203) 668-1926
(203) 583-3927

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
877
CT
106H00000X
Marriage & Family Therapist
Primary
1437
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008056849
CT
01
1199429
CAQH
01
PENDING
ANTHEM BCBS OF CT
CT
Enumeration date
08/28/2009
Last updated
06/01/2023
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