Individual
IVY DENISE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2550 MAIN ST, HARTFORD, CT 06120-1936
(860) 724-1223
(860) 724-1225
Mailing address
1519 FARMINGTON AVE, FARMINGTON, CT 06032-1006
(860) 558-8098
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
624
CT
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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