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Organization
BOOST CHILD AND FAMILY SERVICES
Active
Organization
BOOST CHILD AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE BETH SIRLIN MA, LPC (EXECUTIVE DIRECTOR)
(203) 856-3372
Entity
Organization
Contact information
Practice address
19 S COMPO RD, WESTPORT, CT 06880-4319
(203) 557-8444
Mailing address
19 SOUTH COMPO ROAD, WESTPORT, CT 06880-1522
(203) 557-8444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000573
CT
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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