| Amanda Frechette, Lcsw Llc | |
|
567 Vauxhall Street Ext Ste 315 Waterford CT 06385-4341 | |
| (860) 389-1208 | |
| Not Available |
| Full Name | Amanda Frechette, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 567 Vauxhall Street Ext Ste 315, Waterford, Connecticut |
| Authorized Official Name and Position | Amanda Elizabeth Frechette (CLINICIAN II) |
| Authorized Official Contact | 8603891208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Frechette, Lcsw Llc 7 Twin Lakes Dr Waterford CT 06385-4111 Ph: (860) 389-1208 | Amanda Frechette, Lcsw Llc 567 Vauxhall Street Ext Ste 315 Waterford CT 06385-4341 Ph: (860) 389-1208 |
| NPI Number | 1023512407 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023512407 | NPI | - | NPPES |
| 004083309 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8693 (Connecticut) | Primary |
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