Organization
AMANDA FRECHETTE, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ELIZABETH FRECHETTE LCSW (CLINICIAN II)
(860) 389-1208
Entity
Organization
Contact information
Practice address
567 VAUXHALL STREET EXT STE 315, WATERFORD, CT 06385-4341
(860) 389-1208
Mailing address
7 TWIN LAKES DR, WATERFORD, CT 06385-4111
(860) 389-1208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8693
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004083309
—
CT
Enumeration date
03/21/2018
Last updated
03/21/2018
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