Individual
MS. CAROL BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2228 BLACK ROCK TURNPIKE, SUITE 311, FAIRFIELD, CT 06825
(203) 366-2552
Mailing address
416 PEQUOT AVENUE, SOUTHPORT, CT 06890
(203) 209-4136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CT 000750
CT
Other
Enumeration date
09/29/2006
Last updated
12/04/2008
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