Organization
HOLLY A. HARRY LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY A NEITLICH MSW, LCSW (PRESIDENT)
(203) 815-5001
Entity
Organization
Contact information
Practice address
1 BRADLEY RD, SUITE 205, WOODBRIDGE, CT 06525
(203) 815-5001
Mailing address
1 BRADLEY RD, SUITE 205, WOODBRIDGE, CT 06525
(203) 815-5001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
004004
CT
251S00000X
Community/Behavioral Health Agency
Primary
004004
CT
Other
Enumeration date
07/10/2007
Last updated
08/12/2008
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