Organization
CHANGE OF TIDES THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE CAMANN LCSW (OWNER, THERAPIST)
(860) 460-0983
Entity
Organization
Contact information
Practice address
314 FLANDERS RD STE 2D, EAST LYME, CT 06333-1727
(860) 460-0983
Mailing address
314 FLANDERS RD STE 2D, EAST LYME, CT 06333-1727
(860) 460-0983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
06/05/2023
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