Individual
ARDEN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
91 EAST AVE, NORWALK, CT 06851-5020
(203) 293-8802
Mailing address
33 HARRIET ST, NORWALK, CT 06851-3605
(203) 858-0043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3455
CT
1041C0700X
Clinical Social Worker
Primary
11063
CT
Other
Enumeration date
07/13/2018
Last updated
10/02/2023
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