Practice The Pause, Llc | |
1199 Sullivan Ave Ste B South Windsor CT 06074-2013 | |
(844) 697-2873 | |
Not Available |
Full Name | Practice The Pause, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1199 Sullivan Ave Ste B, South Windsor, Connecticut |
Authorized Official Name and Position | Kristen Goiangos (LCSW) |
Authorized Official Contact | 8446972873 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Practice The Pause, Llc 1199 Sullivan Ave Ste B South Windsor CT 06074-2013 Ph: () - | Practice The Pause, Llc 1199 Sullivan Ave Ste B South Windsor CT 06074-2013 Ph: (844) 697-2873 |
NPI Number | 1225794647 |
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Provider Enumeration Date | 11/10/2021 |
Last Update Date | 11/10/2021 |
Certification Date | 11/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225794647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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