Organization
HOLISTIC LE CLINICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE TURNER LCSW (CEO/LICENSED CLINICAL SOCIAL WORKER)
(186) 883-0513
Entity
Organization
Contact information
Practice address
12 BEAR RIDGE DR, BLOOMFIELD, CT 06002-1108
(860) 830-5130
Mailing address
12 BEAR RIDGE DR, BLOOMFIELD, CT 06002-1108
(860) 830-5130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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