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Organization

EXHALE BREATHE AND LET GO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLADYS JACKSON DEYOUNGE MSW, LCSW (OWNER)
(203) 589-1115
Entity
Organization

Contact information

Practice address
214 AMITY RD, WOODBRIDGE, CT 06525-2241
(203) 589-1115
Mailing address
16 BEAVER HILL LN, NEW HAVEN, CT 06511-1639
(203) 589-1115

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/19/2012
Last updated
01/22/2013
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