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Organization
PERINATAL SUPPORT & BEYOND LLC
Active
Organization
PERINATAL SUPPORT & BEYOND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA SHIELDS LCSW (OWNER)
(860) 245-8486
Entity
Organization
Contact information
Practice address
701 COTTAGE GROVE RD STE 235, BLOOMFIELD, CT 06002-3080
(860) 245-8486
Mailing address
28 HOSKINS RD, BLOOMFIELD, CT 06002-1135
(860) 245-8486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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