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Organization
REBECCA STAMAT
Active
Organization
REBECCA STAMAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA STAMAT LCSW (CLINICAL SOCIAL WORKER)
(203) 558-0786
Entity
Organization
Contact information
Practice address
16 CORNERSTONE CT STE 5, PLANTSVILLE, CT 06479-1551
(203) 558-0786
Mailing address
16 CORNERSTONE CT STE 5, PLANTSVILLE, CT 06479-1551
(203) 558-0786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7063
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D300060350
PTAN
CT
Enumeration date
03/24/2015
Last updated
03/24/2015
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