| Resurgence Surviving 2 Thriving | |
|
101 Cypress St Bristol CT 06010 | |
| (860) 989-1602 | |
| Not Available |
| Full Name | Resurgence Surviving 2 Thriving |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 101 Cypress St, Bristol, Connecticut |
| Authorized Official Name and Position | Marissa Corry (LCSW) |
| Authorized Official Contact | 8609891602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurgence Surviving 2 Thriving 101 Cypress St Bristol CT 06010 Ph: (860) 989-1602 | Resurgence Surviving 2 Thriving 101 Cypress St Bristol CT 06010 Ph: (860) 989-1602 |
| NPI Number | 1265154017 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265154017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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