Tracy Clough, LCSW Valid NPI
Individual provider · Clinical Social Worker · Shelton, CT
- NPI
- 1083122550
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 10006 (CT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-01-17
- Last updated
- 2018-01-17
Practice location
515 Bridgeport Ave
Shelton, CT 06484-5366
(973) 809-4722