| NPI | 1083636997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON L. AYOTTE STAUFFER Owner 860-651-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006144) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |