Organization
DREAM WISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATACHA KERELEJZA LCSW (OWNER)
(203) 910-8079
Entity
Organization
Contact information
Practice address
290 PRATT STREET, MERIDEN, CT 06450-8600
(203) 910-8079
(203) 405-5803
Mailing address
PO BOX 1907, MERIDEN, CT 06450-7059
(203) 910-8079
(203) 405-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006421
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008072080
—
CT
Enumeration date
06/29/2017
Last updated
05/03/2021
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