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Organization

BLUE WATER COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY A LEACH LCSW (OWNER)
(860) 510-2301
Entity
Organization

Contact information

Practice address
2 QUARRY HILL RD, KILLINGWORTH, CT 06419-2230
(860) 510-2301
Mailing address
2 QUARRY HILL RD, KILLINGWORTH, CT 06419-2230
(860) 510-2301

Taxonomy

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

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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