Organization
DEMETRIOS KOSTAS, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIOS KOSTAS LCSW (OWNER)
(203) 265-4580
Entity
Organization
Contact information
Practice address
185 CENTER ST., WALLINGFORD PSYCHOTHERAPY GROUP, LLC, WALLINGFORD, CT 06492
(203) 265-4580
Mailing address
185 CENTER ST., WALLINGFORD PSYCHOTHERAPY GROUP, LLC, WALLINGFORD, CT 06492
(203) 265-4580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005822
CT
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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