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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