Organization
BWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY MAYER LCSW (OWNER)
(845) 659-9391
Entity
Organization
Contact information
Practice address
43 SHERMAN HILL RD, BUILDING D, SUITE 104, WOODBURY, CT 06798-3651
(845) 659-9391
Mailing address
65 CABLES AVE APT 13, WATERBURY, CT 06710-1645
(845) 659-9391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9565
CT
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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