Individual
IVERDIALIS DEYANEIRA TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
137 NORWICH RD STE 101, PLAINFIELD, CT 06374-1646
(860) 822-4765
Mailing address
137 NORWICH RD STE 101, PLAINFIELD, CT 06374-1646
(860) 822-4765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16769
CT
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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