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Organization
TANGIBLE THERAPY, PLLC
Active
Organization
TANGIBLE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATHALIA DORIVAL LCSW (LICENSED CLINICAL SOCIAL WORKER)
(203) 706-0648
Entity
Organization
Contact information
Practice address
755 MAIN ST STE 3, MONROE, CT 06468-2830
(203) 706-0648
Mailing address
96 GREYSTONE RD, BRIDGEPORT, CT 06610-1222
(203) 706-0648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336578681
NPI INDIVIDUAL
CT
Enumeration date
03/17/2021
Last updated
03/17/2021
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