Individual
MS. DOREEN PEREIRA REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
162 WEST ST, CROMWELL, CT 06416-4404
(860) 613-9930
(860) 613-9952
Mailing address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
(508) 634-6984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12079
CT
1041C0700X
Clinical Social Worker
03-408222
CT
Other
Enumeration date
09/22/2006
Last updated
04/13/2015
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