Organization
EMOTIONAL REVIVAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSSANA SILVA SPRIGGS LCSW (CLINICAL SOCIAL WORKER)
(860) 593-6310
Entity
Organization
Contact information
Practice address
130 HOFFMAN RD, ELLINGTON, CT 06029-2421
(860) 593-6310
Mailing address
130 HOFFMAN RD, ELLINGTON, CT 06029-2421
(860) 593-6310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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