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Organization
VISITING NURSE ASSOCIATION OF WALLINGFORD, INC.
Active
Organization
VISITING NURSE ASSOCIATION OF WALLINGFORD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN S. PHILLIPS MSW (EXECUTIVE DIRECTOR)
(203) 269-1475
Entity
Organization
Contact information
Practice address
135 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2332
(203) 269-1475
(203) 265-5357
Mailing address
135 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2332
(203) 269-1475
(203) 265-5357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4042800
—
CT
Enumeration date
07/19/2010
Last updated
10/04/2011
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