| Jill Caruso Llc | |
|
95 Harbor Rd Southport CT 06890-1316 | |
| (203) 339-1855 | |
| Not Available |
| Full Name | Jill Caruso Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 95 Harbor Rd, Southport, Connecticut |
| Authorized Official Name and Position | Jill Caruso (OWNER) |
| Authorized Official Contact | 2033391855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Caruso Llc 95 Harbor Rd Southport CT 06890-1316 Ph: () - | Jill Caruso Llc 95 Harbor Rd Southport CT 06890-1316 Ph: (203) 339-1855 |
| NPI Number | 1962708818 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 02/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962708818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001432 (Connecticut) | Primary |
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