| Weave Your Life Llc | |
|
963 Queen St Suite C Southington CT 06489-1282 | |
| (860) 819-8570 | |
| Not Available |
| Full Name | Weave Your Life Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 963 Queen St, Southington, Connecticut |
| Authorized Official Name and Position | Audrey L Bennett (MANAGER) |
| Authorized Official Contact | 8608198570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weave Your Life Llc 963 Queen St Suite C Southington CT 06489-1282 Ph: (860) 819-8570 | Weave Your Life Llc 963 Queen St Suite C Southington CT 06489-1282 Ph: (860) 819-8570 |
| NPI Number | 1104149293 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 08/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104149293 | NPI | - | NPPES |
| 008040743 | Medicaid | CT |
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