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Individual

BROOKE SARNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7580
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8814
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8814
LICENSE
CT
Enumeration date
02/11/2015
Last updated
02/05/2019
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