Organization
A PLACE FOR ME CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILAYA L. VELAZQUEZ LCSW (CLINICIAN)
(860) 385-1554
Entity
Organization
Contact information
Practice address
46 BROOKLINE AVE, BLOOMFIELD, CT 06002-3606
(860) 385-1554
Mailing address
46 BROOKLINE AVE, BLOOMFIELD, CT 06002-3606
(860) 385-1554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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