Organization
URSULA.L.CHOCK-HARRIS,LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA LIN-OI CHOCK-HARRIS LCSW (CLINICIAN/OWNER)
(860) 951-4530
Entity
Organization
Contact information
Practice address
451 STATE ST, NORTH HAVEN, CT 06473-3070
(860) 951-4530
Mailing address
14 WIGGINS FARM DR, UNIT E, SIMSBURY, CT 06070-2489
(860) 951-4530
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
004791
CT
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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