Individual
MADDISYN MIRCSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
50 FITCH ST, NEW HAVEN, CT 06515-1366
(875) 378-6841
Mailing address
50 FITCH ST, NEW HAVEN, CT 06515-1366
(875) 378-6841
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10054
CT
Other
Enumeration date
09/10/2024
Last updated
09/11/2024
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