Organization
BOOST CHILD AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE BETH SIRLIN MA, LPC (EXECUTIVE DIRECTOR)
(203) 856-3372
Entity
Organization
Contact information
Practice address
19 S COMPO RD, WESTPORT, CT 06880-4319
(203) 557-8444
Mailing address
19 SOUTH COMPO ROAD, WESTPORT, CT 06880-1522
(203) 557-8444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000573
CT
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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