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Organization

IT TAKES A PROMISE SERVICES

Active
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Organization

IT TAKES A PROMISE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOSHIREA JACKSON (OWNER/PARTNER)
(203) 650-4681
Entity
Organization

Contact information

Practice address
70 LINCOLN BLVD, BRIDGEPORT, CT 06606-5550
(203) 650-4681
Mailing address
70 LINCOLN BLVD, BRIDGEPORT, CT 06606-5550
(203) 650-4681

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
02/07/2012
Last updated
06/07/2012
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