Modugno Clinical Therapy, Llc | |
1698 Post Rd E Ste 2a Westport CT 06880-5652 | |
(203) 383-0501 | |
Not Available |
Full Name | Modugno Clinical Therapy, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1698 Post Rd E Ste 2a, Westport, Connecticut |
Authorized Official Name and Position | Elizabeth Modugno (OWNER) |
Authorized Official Contact | 2033830501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Modugno Clinical Therapy, Llc 37 Gay Bower Rd Monroe CT 06468-2129 Ph: (203) 383-0501 | Modugno Clinical Therapy, Llc 1698 Post Rd E Ste 2a Westport CT 06880-5652 Ph: (203) 383-0501 |
NPI Number | 1093280786 |
---|---|
Provider Enumeration Date | 10/09/2018 |
Last Update Date | 10/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093280786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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