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Organization
SYSTEMIC PSYCHOTHERAPY, LLC
Active
Organization
SYSTEMIC PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA DE OTT LCSW (MANAGER)
(203) 321-5379
Entity
Organization
Contact information
Practice address
100 MELROSE AVE STE 103, GREENWICH, CT 06830-6277
(203) 970-4738
Mailing address
52 LAFAYETTE PL APT 2E, GREENWICH, CT 06830-5409
(203) 321-5379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
08/19/2020
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