Organization
LISA IWANOWSKI LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA IWANOWSKI LCSW (OWNER)
(203) 257-6047
Entity
Organization
Contact information
Practice address
1275 POST RD STE A11, FAIRFIELD, CT 06824-6061
(203) 257-6047
Mailing address
1275 POST RD STE A11, FAIRFIELD, CT 06824-6061
(203) 257-6047
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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