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Organization

LEO CLINIC INC

Active
Other names
leo clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS MARRERO (CEO)
(860) 249-0975
Entity
Organization

Contact information

Practice address
602 NEW BRITAIN AVE, HARTFORD, CT 06106-4033
(860) 249-0975
Mailing address
602 NEW BRITAIN AVE, HARTFORD, CT 06106-4033
(860) 249-0975

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
261QC1500X
Community Health Clinic/Center
261QD0000X
Dental Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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