Individual
IMAN DEVONISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
71 W DUDLEY TOWN RD, BLOOMFIELD, CT 06002-5308
(860) 888-3518
Mailing address
59 E EUCLID ST, HARTFORD, CT 06112-1229
(860) 985-3469
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10661
CT
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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