| The Family Workshop, Llc | |
|
555 Heritage Rd Suite 104 Southbury CT 06488-3846 | |
| (203) 264-5030 | |
| Not Available |
| Full Name | The Family Workshop, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 555 Heritage Rd, Southbury, Connecticut |
| Authorized Official Name and Position | Jonathan R Bernon (MEMBER) |
| Authorized Official Contact | 2032645030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Workshop, Llc 555 Heritage Rd Suite 104 Southbury CT 06488-3846 Ph: (203) 264-5030 | The Family Workshop, Llc 555 Heritage Rd Suite 104 Southbury CT 06488-3846 Ph: (203) 264-5030 |
| NPI Number | 1508279845 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508279845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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