Individual
WAHEEDAH ABDUL-LATEEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR AIDE-CHILD
Contact information
Practice address
79 BEACON ST, WATERBURY, CT 06704-3424
(203) 574-3311
(203) 574-3315
Mailing address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 755-1447
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CT
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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