Organization
THERESA M. FEDERICI, ED.D, LCSW, LMSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA M. FEDERICI ED. D, LCSW, LMSW (CLINICAL SOCIAL WORKER)
(203) 529-1602
Entity
Organization
Contact information
Practice address
91 EAST AVE, NORWALK, CT 06851-5020
(203) 529-1602
Mailing address
91 EAST AVE, NORWALK, CT 06851-5020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3157
CT
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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