| Holly A. Harry Lcsw, Llc | |
|
1 Bradley Rd Suite 205 Woodbridge CT 06525 | |
| (203) 815-5001 | |
| Not Available |
| Full Name | Holly A. Harry Lcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Bradley Rd, Woodbridge, Connecticut |
| Authorized Official Name and Position | Holly A Neitlich (PRESIDENT) |
| Authorized Official Contact | 2038155001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly A. Harry Lcsw, Llc 1 Bradley Rd Suite 205 Woodbridge CT 06525 Ph: (203) 815-5001 | Holly A. Harry Lcsw, Llc 1 Bradley Rd Suite 205 Woodbridge CT 06525 Ph: (203) 815-5001 |
| NPI Number | 1407054612 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407054612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 004004 (Connecticut) | Secondary |
| 251S00000X | Community/behavioral Health | 004004 (Connecticut) | Primary |
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