Individual
SARA ELIZABETH SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
911 STATE ST, NEW HAVEN, CT 06511-3926
(203) 503-3000
Mailing address
29 ELD ST APT 3, NEW HAVEN, CT 06511-3822
(423) 258-2024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9751
CT
Other
Enumeration date
06/04/2024
Last updated
06/18/2024
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