Organization
SHANTE POWERS GASKINS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTE POWERS-GASKINS (OWNER)
(860) 580-9631
Entity
Organization
Contact information
Practice address
49 FREDERICK DR, COVENTRY, CT 06238-3624
(860) 580-9631
Mailing address
49 FREDERICK DR, COVENTRY, CT 06238-3624
(860) 580-9631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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