Individual
JOHANNA BERBERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 POST RD E STE 265, WESTPORT, CT 06880-4431
(212) 203-1773
Mailing address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
002564
CT
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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