Organization
MARIA HERASIMOWICZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA IWONA HERASIMOWICZ MA LADC (OWNER)
(860) 977-2820
Entity
Organization
Contact information
Practice address
160 WEST ST, SUITE C, CROMWELL, CT 06416-2441
(860) 977-2820
Mailing address
160 WEST ST, SUITE C, CROMWELL, CT 06416-2441
(860) 977-2820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000946
CT
Other
Enumeration date
02/03/2014
Last updated
02/15/2014
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