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Organization
LIFE BALANCE COUNSELING CT, LLC
Active
Organization
LIFE BALANCE COUNSELING CT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN ELISE FORBES LCSW (LICENSED CLINICAL SOCIAL WORKER)
(860) 717-2007
Entity
Organization
Contact information
Practice address
11 MAIN ST, MYSTIC, CT 06355-3654
(860) 717-2007
Mailing address
69 WEST WOODLAND DRIVE, LEBANON, CT 06249
(860) 717-2007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
05/01/2020
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