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Organization
DANIEL SALVATORE LLC
Active
Organization
DANIEL SALVATORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE ROACH (BILLING ADMINISTRATOR)
(860) 368-7092
Entity
Organization
Contact information
Practice address
12 ROOSEVELT AVE # 36, MYSTIC, CT 06355-2809
(860) 912-0672
Mailing address
12 ROOSEVELT AVE # 36, MYSTIC, CT 06355-2809
(860) 912-0672
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
04/08/2025
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