Individual
CONNOR MARIE BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
240 DIVINITY ST, BRISTOL, CT 06010-6013
(860) 329-2471
Mailing address
240 DIVINITY ST, BRISTOL, CT 06010-6013
(860) 329-2471
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7385
CT
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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