# JILL CARUSO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962708818
- **Authorized official:** JILL CARUSO (OWNER)
- **Authorized official phone:** (203) 339-1855

## Contact information

- **Practice address:** 95 HARBOR RD, SOUTHPORT, CT 06890-1316
- **Practice address phone:** (203) 339-1855
- **Mailing address:** 95 HARBOR RD, SOUTHPORT, CT 06890-1316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001432 | CT | Yes |

## Other

- **Enumeration date:** 02/09/2011
- **Last updated:** 02/09/2011