Individual
MRS. SAMANTHA LYNN HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15 PONUS AVE, NORWALK, CT 06850-2609
(203) 877-0300
Mailing address
15 PONUS AVE, NORWALK, CT 06850-2609
(203) 877-0300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CT
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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