| Adult Mind Body Wellness, Llc | |
|
18 Hollow Oak Ln Stamford CT 06905-2309 | |
| (203) 274-5177 | |
| (203) 274-5177 |
| Full Name | Adult Mind Body Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18 Hollow Oak Ln, Stamford, Connecticut |
| Authorized Official Name and Position | Judy N Stddard (OWNER) |
| Authorized Official Contact | 2039185246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Mind Body Wellness, Llc 18 Hollow Oak Ln Stamford CT 06905-2309 Ph: (203) 274-5177 | Adult Mind Body Wellness, Llc 18 Hollow Oak Ln Stamford CT 06905-2309 Ph: (203) 274-5177 |
| NPI Number | 1053735852 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 02/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053735852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006555 (Connecticut) | Primary |
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