Organization
CLINICAL CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY K GOUDREAULT LCSW (SOLE PROPRIETOR)
(860) 416-3072
Entity
Organization
Contact information
Practice address
1343 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2714
(860) 416-3072
Mailing address
1343 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2714
(860) 416-3072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9729
CT
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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