NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1063142172
LAVENDER MEADOW PSYCHOTHERAPY STUDIO
430 NEW PARK AVE STE 102
WEST HARTFORD
CT
061101142
1922750330
SCOTT
HALEY
531 MAIN ST
EAST HARTFORD
CT
061083305
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