NPI | 1528619038 |
---|---|
Other Name | LINDA S MITTENTHAL LCSW LLC |
Entity Type | Organization |
Authorized Contact | LINDA SUSAN MITTENTHAL Sole Proprietor 860-517-6633 |
Organization Subpart ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2019-09-25 |
Last Update Date | 2019-09-25 |