Individual
HALEY NEIDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 STATE ST, NEW HAVEN, CT 06510-3601
(203) 615-3825
Mailing address
360 STATE ST APT 1119, NEW HAVEN, CT 06510-3608
(203) 615-3825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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