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Organization

STRATFORD COMMUNITY SERVICES

Active
Parent organization
TOWN OF STRATFORD, CT
Organization subpart
Yes

Provider details

NPI number
Legal business name
TOWN OF STRATFORD, CT
Authorized official
MS. ANDREA BOISSEVAIN (HEALTH DIRECTOR)
(203) 385-4090
Entity
Organization

Contact information

Practice address
468 BIRDSEYE ST, STRATFORD, CT 06615-6976
(203) 385-4095
Mailing address
468 BIRDSEYE ST, STRATFORD, CT 06615-6976
(203) 385-4095

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000784
CT

Other

Enumeration date
01/05/2011
Last updated
01/05/2011
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