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Organization
CT SOCIALWORK LLC
Active
Organization
CT SOCIALWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALENA BLOCK LCSW (DIRECTOR)
(203) 660-7459
Entity
Organization
Contact information
Practice address
64 GREYSTONE ROAD EXT, PLYMOUTH, CT 06782-2900
(203) 660-7459
(860) 760-6122
Mailing address
70 GREYSTONE ROAD EXT, PLYMOUTH, CT 06782-2900
(203) 660-7459
(860) 760-6122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037013
—
CT
Enumeration date
03/02/2016
Last updated
01/09/2019
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