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Organization
RADIANT BEGINNING LLC
Active
Organization
RADIANT BEGINNING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUANY M GOMEZ LCSW (CLINICIAN)
(860) 940-0301
Entity
Organization
Contact information
Practice address
433 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2123
(860) 940-0301
Mailing address
59 CATHERINE ST, HARTFORD, CT 06106-3519
(860) 997-5158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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