Individual
DAWN ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
540 TUNXIS HILL RD, 1ST FLOOR, FAIRFIELD, CT 06825-4412
(203) 331-7458
Mailing address
540 TUNXIS HILL RD, 1ST FLOOR, FAIRFIELD, CT 06825-4412
(203) 331-7458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004279
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039244
—
CT
01
—
140004279CT01
ANTHEM BCBS
CT
01
—
191105
MANAGED HEALTH NETWORK
CT
Enumeration date
08/18/2006
Last updated
11/02/2011
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