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Organization
LOWER NAUGATUCK VALLEY PARENT CHILD RESOURCE CENTER, INC.
Active
Organization
LOWER NAUGATUCK VALLEY PARENT CHILD RESOURCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WYNNE (CHIEF EXECUTIVE OFFICER)
(203) 954-0543
Entity
Organization
Contact information
Practice address
30 ELIZABETH ST, 3RD FLOOR, DERBY, CT 06418-1802
(203) 954-0543
(203) 954-0544
Mailing address
30 ELIZABETH ST, 3RD FLOOR, DERBY, CT 06418-1802
(203) 954-0543
(203) 954-0544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0PCC-9
CT
Other
Enumeration date
12/19/2005
Last updated
08/22/2020
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