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NPI Profile for MIMI BEAULIEU in CHESHIRE, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1497910343 |
|
| Status | Active | |
| Credentials | LPC, CCDP | |
| Entity | Individual | |
| Enumeration date | 07/21/2008 | |
| Last updated | 03/06/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MIMI BEAULIEU, LPC, CCDP