Stephanie Tullock, LCSW
NPI #1093324295 in Stafford Springs, Connecticut
Provider Information
- NPI Number
- 1093324295
- Entity Type
- Individual
- Name
- Stephanie Tullock, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 24, 2020
- Last Updated
- Jul 24, 2020
Practice Location
- Address
- 201 CHESTNUT HILL RD
- City
- Stafford Springs
- State
- Connecticut
- ZIP Code
- 06076-4005
- Phone
- (860) 684-8290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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