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Theresa Chriscoe

Social Worker in Greenwich, CT. Individual provider (NPI-1).

NPI number1669089934
StatusActive
Last updated in NPPESSep 30, 2020

Details

NPI
1669089934
Entity type
Individual (NPI-1)
Name
Theresa Chriscoe
Sex
Female
Sole proprietor
No
Enumeration date
Sep 30, 2020
Certification date
Sep 30, 2020
Last updated
Sep 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker108624NYYes

Practice location

110 N Water St # B
Greenwich, CT 06830-5835

Phone 203-921-6433

Mailing address

110 N Water St # B
Greenwich, CT 06830-5835

Phone 203-921-6643

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