Organization
BAXLEY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BAXLEY (LCSW)
(860) 287-2956
Entity
Organization
Contact information
Practice address
36 HIGHLAND DR, LEDYARD, CT 06339-1836
(860) 287-2956
Mailing address
36 HIGHLAND DR, LEDYARD, CT 06339-1836
(860) 287-2956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006813
CT
Other
Enumeration date
09/27/2016
Last updated
10/10/2016
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