Organization
TOWNSHEND-LACOCK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL D. LACOCK PH.D., L.C.S.W. (PRESIDENT)
(203) 245-8732
Entity
Organization
Contact information
Practice address
147 DURHAM RD, MADISON, CT 06443-2675
(203) 245-8732
(203) 457-9465
Mailing address
1420 WEST ST, GUILFORD, CT 06437-1075
(203) 245-8732
(203) 457-9465
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000940
CT
1041C0700X
Clinical Social Worker
001164
CT
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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