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Individual

MS. VENICE R GARNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
140 MILL ST, #16115, EAST HAVEN, CT 06512-1041
(410) 404-9461
Mailing address
140 MILL ST, #16115, EAST HAVEN, CT 06512-1041
(410) 404-9461

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007672
CT
1041C0700X
Clinical Social Worker
007672
CT

Other

Enumeration date
10/16/2012
Last updated
10/16/2012
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