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Organization
EVOLVING TREE THERAPY LLC
Active
Organization
EVOLVING TREE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH DOROTHY OSBORNE LPC, LADC (CEO)
(203) 947-3764
Entity
Organization
Contact information
Practice address
95 MAIN ST STE 200, CANAAN, CT 06018-2463
(203) 947-3764
Mailing address
PO BOX 1123, CANAAN, CT 06018-1123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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