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Individual

MRS. ANISA ROSE BACZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
36 RUSSELL STREET, WHEELER CLINIC, NEW BRITIAN, CT 06052
(860) 223-8885
(860) 827-3350
Mailing address
9 PRISCILLA ROAD, WINDSOR, CT 06095
(860) 285-0301

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006277
CT

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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