Organization
ADULT MIND AND BODY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY STODDARD LCSW (OWNER)
(203) 918-5246
Entity
Organization
Contact information
Practice address
18 HOLLOW OAK LN, STAMFORD, CT 06905
(203) 918-5246
Mailing address
18 HOLLOW OAK LN, STAMFORD, CT 06905-2309
(203) 918-5246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
07/19/2019
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