Individual
MRS. EMILIE PUCKETT NICOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2446 WHITNEY AVE, HAMDEN, CT 06518-3233
(804) 986-6871
Mailing address
238 RIDGEWOOD AVE, HAMDEN, CT 06517-1426
(203) 287-9555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005654
CT
Other
Enumeration date
08/31/2010
Last updated
09/16/2015
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