| Licenced Clinical Social Worker | |
|
86 Mapleview Rd Wallingford CT 06492-2534 | |
| (203) 996-6732 | |
| Not Available |
| Full Name | Licenced Clinical Social Worker |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 86 Mapleview Rd, Wallingford, Connecticut |
| Authorized Official Name and Position | Paul Vincent Parente (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2039966732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licenced Clinical Social Worker 86 Mapleview Rd Wallingford CT 06492-2534 Ph: (203) 996-6732 | Licenced Clinical Social Worker 86 Mapleview Rd Wallingford CT 06492-2534 Ph: (203) 996-6732 |
| NPI Number | 1023552148 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023552148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 003232 (Connecticut) | Primary |
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