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BETHANY ACKLEY LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1588115646

Individual Registrant:
 BETHANY  ACKLEY LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
47 TOWN ST  NORWICH, CT 06360-2323 US
Tel: 860-892-7042  Fax: --

Contact information for business:
47 TOWN ST  NORWICH, CT 06360-2323 US
Tel: 860-892-7042  Fax: --

Registration Information:
NPI: 1588115646
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT9567

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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