Individual
ISMA AZEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1549
CT
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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