Organization
CONNECTICUT THERAPEUTIC COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHETSAMON DILULLO LCSW (CLINICAL SOCIAL WORKER)
(860) 973-9171
Entity
Organization
Contact information
Practice address
32 MAPLE AVE, WINDSOR, CT 06095-2922
(860) 973-9171
Mailing address
32 MAPLE AVE, WINDSOR, CT 06095-2922
(860) 973-9171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
04/16/2019
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