Individual
BEATRICE CASIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 EAST MAIN STREET, WATERBURY, CT 06702-2310
(203) 518-2908
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 518-2908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
CT
Enumeration date
04/16/2012
Last updated
04/16/2012
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