Organization
HOPE CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE L SHIELDS LCSW (LICENSED CLINICAL SOCIAL WORKER)
(860) 967-1175
Entity
Organization
Contact information
Practice address
435 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3720
(860) 975-9484
Mailing address
4 WAKEFIELD CIR, EAST HARTFORD, CT 06118-1622
(860) 967-1175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009575
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088069530
—
CT
Enumeration date
01/07/2018
Last updated
01/07/2018
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