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Organization

STARS OF LOVE AND LIGHT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE TEXIDOR LCSW (MENTAL HEALTH CLINCIAN)
(203) 241-1662
Entity
Organization

Contact information

Practice address
125 GREENWOOD AVE PH 2ND, BETHEL, CT 06801-2586
(203) 240-1662
Mailing address
34 BARKER RD, NEW MILFORD, CT 06776-4902
(203) 240-1662

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/11/2020
Last updated
04/11/2020
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