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Organization

HARBOR BRIDGE EMOTIONAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHERYL K WILCZAK PSY.D. (OWNER)
(203) 661-1054
Entity
Organization

Contact information

Practice address
406 W PUTNAM AVE, GREENWICH, CT 06830-6215
(203) 661-1054
Mailing address
406 W PUTNAM AVE, GREENWICH, CT 06830-6215
(203) 661-1054

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02766
CT

Other

Enumeration date
07/18/2007
Last updated
07/18/2007
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