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Organization
LOU ANN BAYLOCK,LLC
Active
Organization
LOU ANN BAYLOCK,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE ANN BAYLOCK LCSW (OWNER/THERAPIST)
(860) 343-0321
Entity
Organization
Contact information
Practice address
193 MAIN ST, MIDDLETOWN, CT 06457-3423
(860) 343-0321
(860) 343-0321
Mailing address
193 MAIN ST, MIDDLETOWN, CT 06457-3423
(860) 343-0321
(860) 343-0321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004246668-00
—
CT
Enumeration date
09/19/2007
Last updated
10/07/2014
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