Organization
FULL AND FIT FAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA MOSES LCSW (OWNER)
(203) 558-2381
Entity
Organization
Contact information
Practice address
363 MAIN ST STE 513, MIDDLETOWN, CT 06457-3359
(203) 558-2381
Mailing address
39 WALL ST, MIDDLETOWN, CT 06457-4705
(203) 558-2381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7719
CT
Other
Enumeration date
05/17/2018
Last updated
12/21/2018
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