Organization
ASD SUPPORT SERVICES LLC
Active
Other names
ASD Center for Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SEAN CARLIN LCSW (FOUNDER/DIRECTOR OF CLINICAL SERVIC)
(860) 532-0604
Entity
Organization
Contact information
Practice address
415 KILLINGWORTH RD, SUITE 9A/B, HIGGANUM, CT 06441-4370
(860) 532-0604
(860) 322-4723
Mailing address
415 KILLINGWORTH RD, SUITE 9A/B, HIGGANUM, CT 06441-4370
(860) 532-0604
(860) 322-4723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007775
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255606075
PERSONAL NPI#
CT
Enumeration date
12/18/2014
Last updated
12/18/2014
Update your record
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