| NPI | 1912134578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON E. CUTTS Member 860-529-9577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002527) |
| Additional Taxonomies | 251S00000X (Licence: CT 002527) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |