| NPI | 1871946673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE E. PHUNG Lcsw/Private Practice Owner 203-525-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009069) |
| Enumeration Date | 2016-07-16 |
| Last Update Date | 2016-07-16 |