| Mary K Wimpfheimer, Llc | |
|
50 Hartford Ave Granby CT 06035-2306 | |
| (860) 543-1203 | |
| Not Available |
| Full Name | Mary K Wimpfheimer, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 50 Hartford Ave, Granby, Connecticut |
| Authorized Official Name and Position | Mary Wimpfheimer (LCSW,LLC) |
| Authorized Official Contact | 8605431203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary K Wimpfheimer, Llc 18 Rushford Meade Granby CT 06035-2323 Ph: (860) 643-1203 | Mary K Wimpfheimer, Llc 50 Hartford Ave Granby CT 06035-2306 Ph: (860) 543-1203 |
| NPI Number | 1619493152 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 08/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619493152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006391 (Connecticut) | Primary |
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