Organization
EC THERA-FIT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE CLEMENTS JR. (MANAGER)
(860) 856-3380
Entity
Organization
Contact information
Practice address
900 MAIN ST, OAKVILLE, CT 06779-1999
(860) 856-3380
Mailing address
52 SPRING RD, WOLCOTT, CT 06716-1616
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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