Organization
ALSTON CLINICAL PRIVATE PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE ALSTON LCSW (OWNER/PROVIDER)
(860) 836-2278
Entity
Organization
Contact information
Practice address
28 SCHOOL ST, EAST GRANBY, CT 06026-9769
(860) 836-2278
Mailing address
17 WYNCAIRNE, EAST GRANBY, CT 06026-9642
(860) 836-2278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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