| Inner Peace Ct | |
|
83 Boston Post Rd Waterford CT 06385-2423 | |
| (860) 917-0790 | |
| (860) 443-0748 |
| Full Name | Inner Peace Ct |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 83 Boston Post Rd, Waterford, Connecticut |
| Authorized Official Name and Position | Jennifer Ann Clark (CLINICAL PROGRAM DIRECTOR) |
| Authorized Official Contact | 8609170790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Peace Ct 83 Boston Post Rd Waterford CT 06385-2423 Ph: (860) 917-0790 | Inner Peace Ct 83 Boston Post Rd Waterford CT 06385-2423 Ph: (860) 917-0790 |
| NPI Number | 1710228036 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 03/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710228036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006060 (Connecticut) | Primary |
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