Individual
MS. FREDERIQUE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
660 PROSPECT AVE, HARTFORD, CT 06105-4230
(860) 713-4654
Mailing address
660 PROSPECT AVE, HARTFORD, CT 06105-4230
(860) 713-4654
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001490
CT
Other
Enumeration date
11/07/2011
Last updated
06/01/2012
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