Individual
CIYAUAH LASHAWN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 EAST ST, PLAINVILLE, CT 06062-2367
(860) 793-4200
Mailing address
395 BLUE HILLS AVE, HARTFORD, CT 06112-1509
(860) 776-4674
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2018
Last updated
11/18/2018
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