Bags Foundation Ct Inc | |
135 E Liberty St Waterbury CT 06706-1301 | |
(203) 591-1182 | |
(203) 591-1181 |
Full Name | Bags Foundation Ct Inc |
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Speciality | Social Worker - Clinical |
Location | 135 E Liberty St, Waterbury, Connecticut |
Authorized Official Name and Position | Nakia Reddick (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2035911182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bags Foundation Ct Inc 135 E Liberty St Waterbury CT 06706-1301 Ph: (203) 591-1182 | Bags Foundation Ct Inc 135 E Liberty St Waterbury CT 06706-1301 Ph: (203) 591-1182 |
NPI Number | 1922568914 |
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Provider Enumeration Date | 03/25/2019 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922568914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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