Organization
FORTALEZA THERAPEUTIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED HUNGRIA LCSW (PSYCHOTHERAPIST)
(347) 677-4841
Entity
Organization
Contact information
Practice address
1767 SUMMER ST STE 2, STAMFORD, CT 06905-5123
(203) 658-7813
Mailing address
1767 SUMMER ST STE 2, STAMFORD, CT 06905-5123
(203) 658-7813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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