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Organization
SAMS WELLNESS AND THERAPEUTIC SERVICES
Active
Organization
SAMS WELLNESS AND THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA JESSICA INNISS LCSW (PSYCHOTHERAPIST)
(860) 922-0060
Entity
Organization
Contact information
Practice address
818 PARK AVE STE 12, BLOOMFIELD, CT 06002-4514
(860) 922-0060
Mailing address
818 PARK AVE STE 12, BLOOMFIELD, CT 06002-4514
(860) 922-0060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
10/18/2024
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