Organization
ICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY MARIE PROPFE LCSW (DIRECTOR OF CLINICAL SERVICES)
(203) 723-4133
Entity
Organization
Contact information
Practice address
35 ELM ST, NAUGATUCK, CT 06770-4127
(203) 723-4133
(203) 723-4202
Mailing address
35 ELM ST, NAUGATUCK, CT 06770-4127
(203) 723-4133
(203) 723-4202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004892
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004254017
—
CT
Enumeration date
12/14/2006
Last updated
01/23/2015
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