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Organization
PAINE CENTER FOR NEUROFEEDBACK LLC
Active
Organization
PAINE CENTER FOR NEUROFEEDBACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA PAINE LCSW (OWNER)
(203) 823-5109
Entity
Organization
Contact information
Practice address
140 SHERMAN ST, FAIRFIELD, CT 06824-5849
(203) 823-5109
Mailing address
31 COLONIAL HEIGHTS RD, NORTH HAVEN, CT 06473-4100
(203) 823-5109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007720
CT
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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