Individual
MRS. GERALDA ZAINALVAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 VINE ST, HARTFORD, CT 06112-1639
(860) 293-6342
Mailing address
500 VINE ST, HARTFORD, CT 06112-1639
(860) 293-6342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5610
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040705
—
CT
Enumeration date
11/01/2006
Last updated
03/12/2012
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