Organization
GILLIAN VERRASTRO, LCSW, LADC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILLIAN VERRASTRO (OWNER)
(203) 981-0597
Entity
Organization
Contact information
Practice address
27 GLEN RD STE 306, SANDY HOOK, CT 06482-1193
(203) 981-0597
Mailing address
27 GLEN RD STE 306, SANDY HOOK, CT 06482-1193
(203) 981-0597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004123840
—
CT
Enumeration date
06/02/2020
Last updated
07/10/2023
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