Bespoke Therapy and Consulting

NPI #1134988157 in Enfield, Connecticut

Provider Information

NPI Number: 1134988157
Entity Type: Organization
Organization Name: Bespoke Therapy and Consulting
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 14, 2024
Last Updated: Mar 14, 2024

Practice Location

Address: 19A WEYMOUTH RD
City: Enfield
State: Connecticut
ZIP Code: 06082-6006
Phone: (860) 491-7398

Authorized Official

Name: DOMINIQUE SHABAZZ, DSW, LCSW
Title: OWNER
Phone: (860) 491-7398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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