Individual
ILLESE FORGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 SEAVIEW AVE, SUITE 4E, NORWALK, CT 06855-2305
(203) 293-8215
Mailing address
100 SEAVIEW AVE, SUITE 4E, NORWALK, CT 06855-2305
(203) 293-8215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14501
CT
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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