Individual
ILAYA L. VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 N MAIN ST, MANCHESTER, CT 06042-2007
(860) 643-2101
Mailing address
317 N MAIN ST, MANCHESTER, CT 06042-2007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001685
CT
Other
Enumeration date
04/19/2016
Last updated
08/16/2021
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