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Individual

DAISY SANTIAGO-LEVASSEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
95 THOMASTON AVE, WATERBURY, CT 06702-1007
(203) 805-5300
(203) 805-5310
Mailing address
95 THOMASTON AVE, WATERBURY, CT 06702-1007
(203) 805-5300
(203) 805-5310

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007062
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C02788
MEDICARE
CT
Enumeration date
01/31/2011
Last updated
01/31/2011
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