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NPI Code Detail

MEDICARE: MS. SHEILA M. RIETANO MSW

MEDICARE: MS. SHEILA M. RIETANO MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor002613CT

General Provider Information

NPI Number : 1619160306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHEILA M. RIETANO MSW
Provider Business Mailing Address
First Line : 94 EAST AVE
Second Line :
City : NORWALK
State : CT
Zip : 06851-5024
Country : US
Telephone Number : 203-866-9199
Fax Number : 203-454-0544
Provider Business Practice Location Address
First Line : 94 EAST AVE
Second Line :
City : NORWALK
State : CT
Zip : 06851-5024
Country : US
Telephone Number : 203-866-9199
Fax Number : 203-454-0544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2007
Last Update Date : 08/25/2007

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