Organization
S COLWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON COLWELL (APRN)
(203) 257-5928
Entity
Organization
Contact information
Practice address
999 ORONOQUE LN, 2ND FLOOR NORTH, STRATFORD, CT 06614-1379
(203) 257-5928
Mailing address
34 SPRUCE HILL RD, SHELTON, CT 06484-1965
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
002422
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285650622
NPI
—
Enumeration date
08/22/2010
Last updated
08/22/2010
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