Individual
DAISY BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
59 NELSON ST, HARTFORD, CT 06120-2041
(860) 888-9112
Mailing address
59 NELSON ST APT D, HARTFORD, CT 06120-2041
(860) 888-9112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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