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Organization
SACRED GROUND INSTITUTE LLC
Active
Organization
SACRED GROUND INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANNA WOOLFOLK LCSW (OWNER)
(203) 927-0042
Entity
Organization
Contact information
Practice address
140 CAPTAIN THOMAS BLVD STE 211B, WEST HAVEN, CT 06516-5951
(203) 927-0042
Mailing address
140 CAPTAIN THOMAS BLVD STE 211B, WEST HAVEN, CT 06516-5951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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