Organization
CENTER FOR COGNITIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILI DAOUD MSW (CLINICAL DIRECTOR)
(860) 677-2991
Entity
Organization
Contact information
Practice address
176 W MAIN ST, AVON, CT 06001-4354
(860) 677-2991
(860) 284-6838
Mailing address
176 W MAIN ST, AVON, CT 06001-4354
(860) 677-2991
(860) 284-6838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005394
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497819015
NPI
—
Enumeration date
09/13/2010
Last updated
09/13/2010
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