Individual
MR. GEOFFREY CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
339 HUNTING HILL AVE APT 5, MIDDLETOWN, CT 06457-4361
(203) 843-6235
Mailing address
339 HUNTING HILL AVE APT 5, MIDDLETOWN, CT 06457-4361
(203) 843-6235
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5214
CT
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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