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 |