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Organization
WILD EMPOWERMENT LLC
Active
Organization
WILD EMPOWERMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA AMANTE LCSW (OWNER / CLINICIAN)
(203) 951-1393
Entity
Organization
Contact information
Practice address
45 FAIR ST, WALLINGFORD, CT 06492-4208
(203) 951-1393
Mailing address
45 FAIR ST FL 1, WALLINGFORD, CT 06492-4208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
08/06/2026
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