Organization
SELF INJURY AWARENESS NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LOUISE BICKING LCSW, MPA (EXECUTIVE DIRECTOR)
(860) 598-0018
Entity
Organization
Contact information
Practice address
18-20 TRINITY ST, C/O CT ASIAN PACIFIC AMERICAN COMMISSION, HARTFORD, CT 06106-1600
(860) 598-0018
Mailing address
18-20 TRINITY STREET, C/O CT ASIAN PACIFIC AMERICAN COMMISSION, HARTFORD, CT 06106
(860) 598-0018
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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