Organization
ADULT MIND BODY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY N STDDARD LCSW (OWNER)
(203) 918-5246
Entity
Organization
Contact information
Practice address
18 HOLLOW OAK LN, STAMFORD, CT 06905-2309
(203) 274-5177
(203) 274-5177
Mailing address
18 HOLLOW OAK LN, STAMFORD, CT 06905-2309
(203) 274-5177
(203) 274-5177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006555
CT
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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