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Organization

SIRSHA YOGA AND WELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANNE SILVA LCSW (LCSW)
(203) 232-3107
Entity
Organization

Contact information

Practice address
1131 WEST ST, BLDG 1 SUITE 3, SOUTHINGTON, CT 06489-6006
(203) 232-3107
Mailing address
70 BAGLEY TER, WATERBURY, CT 06705-3010

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
8999
CT

Other

Enumeration date
11/28/2016
Last updated
11/28/2016
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