| Safe Space Talk | |
|
1301 Huntington Rd Stratford CT 06614-2301 | |
| (929) 333-6813 | |
| Not Available |
| Full Name | Safe Space Talk |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1301 Huntington Rd, Stratford, Connecticut |
| Authorized Official Name and Position | Tanya Dawson (OWNER) |
| Authorized Official Contact | 9293336813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Space Talk 1301 Huntington Rd Stratford CT 06614-2301 Ph: (929) 333-6813 | Safe Space Talk 1301 Huntington Rd Stratford CT 06614-2301 Ph: (929) 333-6813 |
| NPI Number | 1700538485 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700538485 | NPI | - | NPPES |
| 1053831768 | Other | NJ | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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