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Organization
GREENWICH FAMILY THERAPY LLC
Active
Organization
GREENWICH FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH ZACKSON PHD (OFFICER)
(203) 900-1666
Entity
Organization
Contact information
Practice address
15 VALLEY DR, GREENWICH, CT 06831-5205
(203) 900-1666
Mailing address
15 VALLEY DR, GREENWICH, CT 06831-5205
(203) 900-1666
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
12/08/2023
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