Organization
BRAIN MIND BODY PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA FRAGA-ZAPF LCSW (PSYCHOTHERAPIST)
(203) 293-4395
Entity
Organization
Contact information
Practice address
177 POST RD W STE 1, WESTPORT, CT 06880-4652
(203) 293-4395
Mailing address
6 STEEP HILL RD, WESTON, CT 06883-1731
(203) 557-0305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008202
CT
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/22/2014
Last updated
03/05/2014
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