Miriam Wholean Lcsw LLC
Social Worker, Clinical in Mystic, CT. Organization (NPI-2).
NPI number1336769736
StatusActive
Last updated in NPPESApr 26, 2020
Details
- NPI
- 1336769736
- Entity type
- Organization (NPI-2)
- Legal business name
- Miriam Wholean Lcsw LLC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2020
- Certification date
- Apr 26, 2020
- Last updated
- Apr 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
19 Burrows StMystic, CT 06355-2446
Phone 860-334-3080
Mailing address
19 Burrows StMystic, CT 06355-2446
Phone 860-334-3080
Authorized official
Miriam Wholean
Owner
8603343080
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