Wild Empowerment LLC
NPI #1831885359 in Shelton, Connecticut
Provider Information
- NPI Number
- 1831885359
- Entity Type
- Organization
- Organization Name
- Wild Empowerment LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 17, 2023
- Last Updated
- Apr 18, 2023
Practice Location
- Address
- 4 RESEARCH DR STE 402
- City
- Shelton
- State
- Connecticut
- ZIP Code
- 06484-6242
- Phone
- (203) 951-1393
Authorized Official
- Name
- GINA AMANTE, LCSW
- Title
- OWNER / CLINICIAN
- Phone
- (203) 951-1393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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