Individual
BROOKE CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
263 SAYBROOK RD, HIGGANUM, CT 06441-4105
(718) 687-9832
Mailing address
PO BOX 150, HIGGANUM, CT 06441-0150
(718) 687-9832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007887
CT
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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