| Ganika Therapy Center Llc | |
|
44r Lebanon Rd Bozrah CT 06334-1148 | |
| (860) 333-1388 | |
| (710) 456-3471 |
| Full Name | Ganika Therapy Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 44r Lebanon Rd, Bozrah, Connecticut |
| Authorized Official Name and Position | Kathleen Douglas (LCSW) |
| Authorized Official Contact | 8603331388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ganika Therapy Center Llc 44r Lebanon Rd Bozrah CT 06334-1148 Ph: (860) 333-1388 | Ganika Therapy Center Llc 44r Lebanon Rd Bozrah CT 06334-1148 Ph: (860) 333-1388 |
| NPI Number | 1437413093 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437413093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006591 (Connecticut) | Primary |
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