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Organization
SAFE SPACE COUNSELING LLC
Active
Organization
SAFE SPACE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L BERGERON (LCSW)
(860) 858-1730
Entity
Organization
Contact information
Practice address
208 SLADE RD, ASHFORD, CT 06278-1418
(860) 858-1730
(860) 300-1083
Mailing address
208 SLADE RD, ASHFORD, CT 06278-1418
(860) 858-1730
(860) 300-1083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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