Most Relevant Information
Provider Data
NPI Number: | 1003293242 |
Provider Name: | ALICE KROLL LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 002639 |
Most Important Dates
Enumeration Date: | 04/27/2015 |
Last Updated: | 04/27/2015 |
Provider Practice Location
420 QUAKER FARMS RD
OXFORD
CT
064781307
Practice Location Phone/Fax
Phone: | 2033051012 |
Fax: | 2038885275 |
Provider Mailing Location
420 QUAKER FARMS RD
OXFORD
CT
064781307
Provider Mailing Phone/Fax
Phone: | 2033051012 |
Fax: | 2038885275 |