Organization
PARENTECHNIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUTUMN CLOUD-INGRAM LCSW (OWNER/FOUNDER)
(203) 390-0070
Entity
Organization
Contact information
Practice address
932 LITCHFIELD TPKE, BETHANY, CT 06524-3019
(203) 390-0070
Mailing address
932 LITCHFIELD TPKE, BETHANY, CT 06524-3019
(203) 390-0070
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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