Individual
BRANAZIA R WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HAZEL TER, WOODBRIDGE, CT 06525-2240
(203) 435-4960
Mailing address
30 HAZEL TER, WOODBRIDGE, CT 06525-2240
(203) 435-4960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7504
CT
Other
Enumeration date
09/28/2023
Last updated
10/06/2023
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