| Sergena Laine, Lcsw | |
|
222 Post Rd Fairfield CT 06824-6245 | |
| (203) 816-5179 | |
| Not Available |
| Full Name | Sergena Laine, Lcsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 222 Post Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Sergena Laine (OWNER) |
| Authorized Official Contact | 2032780797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sergena Laine, Lcsw 172 Harbor Ave Bridgeport CT 06605-2738 Ph: () - | Sergena Laine, Lcsw 222 Post Rd Fairfield CT 06824-6245 Ph: (203) 816-5179 |
| NPI Number | 1235706391 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Certification Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235706391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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