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1831885359
WILD EMPOWERMENT LLC
SHELTON, CT
NPI
1831885359
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Entity Type
Organization
Authorized Contact
GINA AMANTE
Owner / Clinician
203-951-1393
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-04-17
Last Update Date
2023-04-18
Business Address
WILD EMPOWERMENT LLC
4 RESEARCH DR STE 402
SHELTON, CT 06484-6242
Phone number: 203-951-1393
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Mailing Address
WILD EMPOWERMENT LLC
4 RESEARCH DR STE 402
SHELTON, CT 06484-6242
Phone number:
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