Organization
STALLWORTH COUNSELING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS A STALLWORTH MSW (OWNER)
(203) 568-5662
Entity
Organization
Contact information
Practice address
77 CHAPMAN AVE FL 3, WATERBURY, CT 06710-1309
(203) 568-5662
Mailing address
12 SNOW CRYSTAL RD, NAUGATUCK, CT 06770-3527
(203) 568-5662
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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