Organization
EARTH DANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANWEN SARAH OSHEA-REFAI LCSW (MEMBER)
(203) 288-7347
Entity
Organization
Contact information
Practice address
375 MATHER ST, SUITE 2, HAMDEN, CT 06514-3101
(203) 288-7347
(203) 288-7347
Mailing address
375 MATHER ST, SUITE 2, HAMDEN, CT 06514-3101
(203) 288-7347
(203) 288-7347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005086
CT
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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