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Individual

MRS. JULIANA GRACIELA COSSIO-BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-5809
(203) 974-5850
Mailing address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-5809
(203) 974-7500

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7300
CT

Other

Enumeration date
09/14/2012
Last updated
09/13/2013
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