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Organization

EMBRACE YOUR PATH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBORAH SHILLINGFORD (OWNER/MANAGER)
(203) 520-9910
Entity
Organization

Contact information

Practice address
4270 MAIN ST, BRIDGEPORT, CT 06606-2306
(203) 301-8852
(203) 301-8852
Mailing address
39 COGSWELL ST, BRIDGEPORT, CT 06610-1913
(203) 520-9910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007937
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497977375
BEHAVIORAL HEALTH
CT
Enumeration date
12/05/2017
Last updated
12/05/2017
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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