| Faithfully Growing Llc | |
|
647 California St Stratford CT 06614-4908 | |
| (203) 727-2051 | |
| Not Available |
| Full Name | Faithfully Growing Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 647 California St, Stratford, Connecticut |
| Authorized Official Name and Position | Nia Danielle Denard-walker (OWNER) |
| Authorized Official Contact | 2037272051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faithfully Growing Llc 647 California St Stratford CT 06614-4908 Ph: (203) 727-2051 | Faithfully Growing Llc 647 California St Stratford CT 06614-4908 Ph: (203) 727-2051 |
| NPI Number | 1831657048 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831657048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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