Organization
ENCHANTED THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN M PICONE LCSW (OWNER)
(860) 919-7840
Entity
Organization
Contact information
Practice address
112 SUMMIT ST, PLANTSVILLE, CT 06479-1125
(860) 919-7840
Mailing address
112 SUMMIT ST, PLANTSVILLE, CT 06479-1125
(860) 919-7840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005732
CT
Other
Enumeration date
03/01/2014
Last updated
03/01/2014
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