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Organization
INNOVATIVE THERAPY SOLUTIONS
Active
Organization
INNOVATIVE THERAPY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. T MICELLI MILLER LICSW (OWNER/THERPAIST LICSW)
(413) 344-3226
Entity
Organization
Contact information
Practice address
314 MAIN ST, OFFICE 8, GREAT BARRINGTON, MA 01230-1744
(413) 344-3226
Mailing address
452 LIME ROCK RD, LAKEVILLE, CT 06039-2404
(860) 596-4436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116891
MA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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