Organization
MELANIE SORENSEN, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE SORENSEN KOSCHNITZKE LCSW (OWNER)
(203) 564-9677
Entity
Organization
Contact information
Practice address
5 BROOK ST, DARIEN, CT 06820-4549
(203) 564-9677
Mailing address
PO BOX 3565, STAMFORD, CT 06905-0565
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8835
CT
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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