Individual
DANELLE P ROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 N MAIN ST, BRISTOL, CT 06010-4926
(860) 793-3975
Mailing address
295 SIMSBURY RD, WEST HARTFORD, CT 06117-1453
(860) 817-0705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8960
CT
Other
Enumeration date
10/10/2023
Last updated
10/11/2023
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