Glow Up Therapy
NPI #1265090500 in Mystic, Connecticut
Provider Information
- NPI Number
- 1265090500
- Entity Type
- Organization
- Organization Name
- Glow Up Therapy
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 2, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 11 MAIN ST
- City
- Mystic
- State
- Connecticut
- ZIP Code
- 06355-3654
- Phone
- (860) 772-4424
Authorized Official
- Name
- AMANDA JELDEN, LCSW
- Title
- CO-OWNER
- Phone
- (860) 772-4424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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