Individual
MS. HENRIETTA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 MYGATT RD, NEW PRESTON, CT 06777-1610
(860) 729-3952
Mailing address
72 MYGATT RD, NEW PRESTON, CT 06777-1610
(860) 729-3952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007349
CT
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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