Organization
CHARTER OAK THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SANZARI (BILLER)
(203) 371-7311
Entity
Organization
Contact information
Practice address
246 WOLCOTT RD STE 2, WOLCOTT, CT 06716-2641
(860) 863-6342
Mailing address
246 WOLCOTT RD STE 2, WOLCOTT, CT 06716-2641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9523
CT
106H00000X
Marriage & Family Therapist
1634
CT
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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