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Organization
TAILORED WELLNESS LLC
Active
Organization
TAILORED WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR RISPOLI LCSW (LICENSED CLINICAL SOCIAL WORKER)
(203) 640-1013
Entity
Organization
Contact information
Practice address
2228 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3256
(203) 640-1013
Mailing address
33 WHEELER ST, SHELTON, CT 06484-2219
(203) 640-1013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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