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Organization
LATANYA BIZOR, LCSW,LLC
Active
Organization
LATANYA BIZOR, LCSW,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATANYA D. BIZOR MSW, LCSW (OWNER)
(203) 214-9437
Entity
Organization
Contact information
Practice address
969 W MAIN ST, STE 2G, WATERBURY, CT 06708-2653
(475) 275-8245
Mailing address
969 W MAIN ST, STE 2G, WATERBURY, CT 06708-2653
(475) 275-8245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009303
CT
Other
Enumeration date
03/04/2017
Last updated
03/04/2017
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