Individual
POLLY DEROW LITNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
179 POST RD W, WESTPORT, CT 06880-4602
(475) 666-0797
Mailing address
24 SURF RD, WESTPORT, CT 06880-6733
(203) 856-3991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1560
CT
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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