Organization
CLINICAL SOCIAL WORK SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE RIVERA LCSW (OWNER/SOCIAL WORKER)
(203) 500-0296
Entity
Organization
Contact information
Practice address
20 LAUREL CREST RD, MADISON, CT 06443-3344
(203) 500-0296
Mailing address
20 LAUREL CREST RD, MADISON, CT 06443-3344
(203) 500-0296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003747
CT
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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