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Organization
STEPHANIE HARRIS LCSW LADC LLC
Active
Organization
STEPHANIE HARRIS LCSW LADC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HARRIS LCSW, LADC (OWNER)
(203) 600-2951
Entity
Organization
Contact information
Practice address
609 W JOHNSON AVE STE 310, CHESHIRE, CT 06410-4505
(203) 600-2951
Mailing address
609 W JOHNSON AVE STE 310, CHESHIRE, CT 06410-4505
(203) 600-2951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11409
STATE LICENSE
CT
Enumeration date
08/25/2022
Last updated
08/25/2022
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