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Organization
STAYWELL STRESS MANAGEMENT LLC
Active
Organization
STAYWELL STRESS MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA L. CRETELLA LCSW (DIRECTOR)
(203) 915-3777
Entity
Organization
Contact information
Practice address
129 SAMSON ROCK DR, UNIT B, MADISON, CT 06443-3034
(203) 915-3777
(203) 909-6621
Mailing address
69 REDCOAT LN, GUILFORD, CT 06437-1946
(203) 915-3777
(203) 909-6621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006773
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174768105
—
CT
Enumeration date
12/05/2009
Last updated
10/25/2016
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