Individual
ESRA CITLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 WALL ST, WALLINGFORD, CT 06492-4709
(203) 600-9200
Mailing address
32 WALL ST, WALLINGFORD, CT 06492-4709
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9339
CT
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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