Organization
JOHN LOUIS RENZULLI
Active
Other names
Family Psychotherapy & Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LOUIS RENZULLI LCSW (OWNER)
(203) 405-1186
Entity
Organization
Contact information
Practice address
43 SHERMAN HILL RD, BUILDING D, SUITE 103, WOODBURY, CT 06798-3651
(203) 405-1186
Mailing address
PO BOX 1334, SOUTHBURY, CT 06488-8334
(203) 405-1186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2770
CT
Other
Enumeration date
07/30/2014
Last updated
10/19/2014
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