Individual
DERA KANHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 HUBBELL AVE, WATERBURY, CT 06708-1220
(203) 802-0644
Mailing address
176 HUBBELL AVE, WATERBURY, CT 06708-1220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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