Organization
MARIANNE CARDILLO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE CARDILLO LMFT (OWNER)
(203) 253-6167
Entity
Organization
Contact information
Practice address
72 CEDAR HEIGHTS RD, STAMFORD, CT 06905-1105
(203) 253-6167
Mailing address
72 CEDAR HEIGHTS RD, STAMFORD, CT 06905-1105
(203) 253-6167
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578979332
NPI
—
Enumeration date
10/08/2020
Last updated
10/08/2020
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