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Organization
THERAPY BLIS
Active
Organization
THERAPY BLIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANEIL BECKFORD LCSW (CEO)
(203) 418-0767
Entity
Organization
Contact information
Practice address
1506 POST RD, FAIRFIELD, CT 06824-5916
(203) 418-0767
Mailing address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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