Organization
SISUFIT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WALSH (MANAGING MEMBER)
(646) 504-4616
Entity
Organization
Contact information
Practice address
130 TRESSER BLVD, STAMFORD, CT 06901-3399
(646) 504-4616
Mailing address
1297 E PUTNAM AVE # 1019, RIVERSIDE, CT 06878-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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