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Organization
REJUVENATING MIND & BODY , LLC
Active
Organization
REJUVENATING MIND & BODY , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY LYNN ZENKUS LCSW (LICENSED CLINICAL SOCIAL WORKER)
(203) 535-7388
Entity
Organization
Contact information
Practice address
969 W MAIN ST, SUITE 2G, WATERBURY, CT 06708-2653
(203) 625-1502
Mailing address
969 W MAIN ST, SUITE 2G, WATERBURY, CT 06708-2653
(203) 625-1502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009126
CT
Other
Enumeration date
04/03/2017
Last updated
04/26/2017
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