Individual
MRS. REGINA CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
790 GRAND AVE, NEW HAVEN, CT 06511-4941
(203) 789-1681
Mailing address
69 HANOVER ST, WALLINGFORD, CT 06492-1641
(203) 284-3719
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
09/26/2007
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