Individual
ADILSA R ENCARNACAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 N MAIN ST, BRISTOL, CT 06010-8122
(203) 695-6154
Mailing address
250 PLANK RD, WATERBURY, CT 06705-2627
(203) 695-6154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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