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Organization
SHORELINE CENTER FOR FAMILY COUNSELING & PSYCHOTHERAPY, LLC
Active
Organization
SHORELINE CENTER FOR FAMILY COUNSELING & PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EWING LCSW (OWNER)
(203) 433-0299
Entity
Organization
Contact information
Practice address
9 BUSINESS PARK DR, BRANFORD, CT 06405-2931
(203) 433-0299
(203) 643-2042
Mailing address
9 BUSINESS PARK DR, BRANFORD, CT 06405-2931
(203) 433-0299
(203) 643-2042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006202
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
005763
CT
Other
Enumeration date
04/20/2010
Last updated
10/29/2014
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