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Organization
DEEP RIVER WELLNESS
Active
Organization
DEEP RIVER WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN PASCHALL LPC (DIRECTOR)
(860) 526-5450
Entity
Organization
Contact information
Practice address
144 MAIN ST, DEEP RIVER, CT 06417-1727
(860) 526-5450
Mailing address
144 MAIN ST, DEEP RIVER, CT 06417-1727
(860) 526-5450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
501
CT
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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