Individual
HETAL A. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
28 CRESCENT ST, FAMILY ADVOCACY PROGRAM, MIDDLETOWN, CT 06457-3654
(860) 358-6394
(860) 358-6748
Mailing address
28 CRESCENT ST, FAMILY ADVOCACY PROGRAM, MIDDLETOWN, CT 06457-3654
(860) 358-6394
(860) 358-6748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006793
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006793
LCSW CT LICENSE
CT
Enumeration date
08/29/2008
Last updated
08/29/2008
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