| Carol Madden Winslow | |
|
18 Myrock Ave Waterford CT 06385-3008 | |
| (860) 287-7203 | |
| Not Available |
| Full Name | Carol Madden Winslow |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 18 Myrock Ave, Waterford, Connecticut |
| Authorized Official Name and Position | Carol Madden Winslow (OWNER) |
| Authorized Official Contact | 8602877203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Madden Winslow 83 Boston Post Rd Waterford CT 06385-2423 Ph: (860) 287-7203 | Carol Madden Winslow 18 Myrock Ave Waterford CT 06385-3008 Ph: (860) 287-7203 |
| NPI Number | 1639570690 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639570690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 000838 (Connecticut) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 000676 (Connecticut) | Primary |
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