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Organization

MINDS IN MOTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TATIANA CHANG LCSW (THERAPIST)
(914) 882-9647
Entity
Organization

Contact information

Practice address
459 MAIN ST, WEST HAVEN, CT 06516-4219
(914) 882-9647
Mailing address
589 CAMPBELL AVE., #63, WEST HAVEN, CT 06516
(914) 882-9647

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/07/2021
Last updated
01/07/2021
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