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Organization

ANTONIO OKOSKY LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI FOGG DONOVAN (OFFICE MANAGER)
(860) 535-9922
Entity
Organization

Contact information

Practice address
400 BAYONET ST STE 202, NEW LONDON, CT 06320-2600
(860) 501-4110
Mailing address
240 S ANGUILLA RD, PAWCATUCK, CT 06379-1439
(860) 501-4110

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/06/2022
Last updated
10/06/2022
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