Individual
CLARA ISABEL MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 688-3182
Mailing address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 688-3182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010047
CT
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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