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Organization
MICHELLE M GIENAU, LCSW, LLC
Active
Organization
MICHELLE M GIENAU, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GIENAU (OWNER)
(860) 334-4125
Entity
Organization
Contact information
Practice address
19 HALLS RD, # 234, OLD LYME, CT 06371-1457
(860) 434-5398
(860) 434-5473
Mailing address
PO BOX 122, YANTIC, CT 06389-0122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9677
CT
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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