Ettlinger-Samos, Vivian
Ettlinger-Samos, Vivian is an individual health care provider with primary practice located at 47 Town St , Norwich CT 06360-2315. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ettlinger-Samos, Vivian can be contacted via phone (860) 892-7042.Contact Information
Primary practice address
47 Town St
Norwich CT 06360-2315
Phone: (860) 892-7042
Fax: (860) 892-7043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000561 | Connecticut |
Profile Details
| NPI number | 1710922281 |
|---|---|
| LBN Legal business name | Ettlinger-Samos, Vivian |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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