| La Casa Verde Llc | |
|
55 Post Rd West Westport CT 06880 | |
| (203) 858-2342 | |
| Not Available |
| Full Name | La Casa Verde Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 55 Post Rd West, Westport, Connecticut |
| Authorized Official Name and Position | Corina V Lopez Hoffman (DIRECTOR) |
| Authorized Official Contact | 2038582342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Casa Verde Llc 55 Post Rd West Westport CT 06880 Ph: (203) 858-2342 | La Casa Verde Llc 55 Post Rd West Westport CT 06880 Ph: (203) 858-2342 |
| NPI Number | 1164142840 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164142840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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