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Organization
REGENERATIVE PSYCHOTHERAPY PLLC
Active
Organization
REGENERATIVE PSYCHOTHERAPY PLLC
Active
Other names
Regenerative Psychotherapy PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MERRITT JULIANO JD LCSW (MANAGING MEMBER)
(917) 224-9598
Entity
Organization
Contact information
Practice address
95 LONG LOTS RD, WESTPORT, CT 06880-3919
(917) 224-9598
Mailing address
95 LONG LOTS RD, WESTPORT, CT 06880-3919
(917) 224-9598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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