Individual
MRS. DOLORES ANN SMITH-EZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2296 MAIN ST, STRATFORD, CT 06615-5974
(203) 380-9255
(203) 380-9255
Mailing address
170 ABRAM ST, STRATFORD, CT 06614-3821
(203) 380-9255
(203) 380-9255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003969CT
CT
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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