| NPI | 1023552148 |
|---|---|
| Doing Business As | LICENCED CLINICAL SOCIAL WORKER |
| Entity Type | Organization |
| Authorized Contact | PAUL VINCENT PARENTE Licensed Clinical Social Worker 203-996-6732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 003232) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |