Organization
BETHANY ACKLEY LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ACKLEY (OWNER)
(860) 415-3027
Entity
Organization
Contact information
Practice address
212 THAMES ST, GROTON, CT 06340-3632
(860) 415-3027
Mailing address
306 SALEM TPKE UNIT 26, NORWICH, CT 06360-6490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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