Travelightnow, Llc | |
85 Mill Plain Rd Fairfield CT 06824-5001 | |
(516) 578-2560 | |
Not Available |
Full Name | Travelightnow, Llc |
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Speciality | Social Worker - Clinical |
Location | 85 Mill Plain Rd, Fairfield, Connecticut |
Authorized Official Name and Position | Halley Ceglia Terrell (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5165782560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Travelightnow, Llc 230 Seaside Ave Bridgeport CT 06605-3530 Ph: (516) 578-2560 | Travelightnow, Llc 85 Mill Plain Rd Fairfield CT 06824-5001 Ph: (516) 578-2560 |
NPI Number | 1831687706 |
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Provider Enumeration Date | 04/26/2018 |
Last Update Date | 04/26/2018 |
Identifier | Type | State | Issuer |
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1831687706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007642 (Connecticut) | Primary |
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