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Organization
REVISION STUDIO LLC THERAPY AND COUNSELING SERVICES
Active
Organization
REVISION STUDIO LLC THERAPY AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH DEBORAH CROEN LCSW (OWNER)
(203) 274-4284
Entity
Organization
Contact information
Practice address
3 WEST END AVENUE, OLD GREENWICH, CT 06870-9203
(203) 274-4284
Mailing address
P.O. BOX 172, OLD GREENWICH, CT 06870-9203
(203) 274-4284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004269
CT
Other
Enumeration date
06/17/2013
Last updated
01/21/2015
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