Organization
SOUL FRIENDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. M. KATHRYN NICOLL MSW (PRESIDENT)
(203) 679-0849
Entity
Organization
Contact information
Practice address
300 CHURCH ST, SUITE 105, WALLINGFORD, CT 06492-2253
(203) 679-0849
Mailing address
300 CHURCH ST, SUITE 105, WALLINGFORD, CT 06492-2253
(203) 679-0849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
002617
CT
251S00000X
Community/Behavioral Health Agency
Primary
—
CT
Other
Enumeration date
12/01/2006
Last updated
01/08/2014
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