NPI | 1306152517 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MARIE FRECHETTE Sole Proprietor/Provider 860-315-9025 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006210) |
Enumeration Date | 2010-08-25 |
Last Update Date | 2010-08-25 |