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Organization
OPEN SPACE THERAPY LLC
Active
Organization
OPEN SPACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN FLORES LCSW (CHIEF EXECUTIVE OFFICER)
(860) 995-0730
Entity
Organization
Contact information
Practice address
28 HIGBIE DR, EAST HARTFORD, CT 06108-2840
(860) 995-0730
Mailing address
28 HIGBIE DR, EAST HARTFORD, CT 06108-2840
(860) 995-0730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
06/09/2020
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