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Organization
LATITUDE BEHAVIORAL HEALTH
Active
Organization
LATITUDE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M. HOLDEN (OWNER)
(860) 629-0339
Entity
Organization
Contact information
Practice address
49 WOODS DR, NORWICH, CT 06360-1560
(860) 333-2160
Mailing address
49 WOODS DR, NORWICH, CT 06360-1560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009147
CT
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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