Individual
MS. BERNADINA LAKSHMI VAN DEUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 HYDE PARK RD, STAFFORD SPRINGS, CT 06076-1507
(860) 684-4239
(860) 684-0511
Mailing address
306 LEONARD RD, STAFFORD SPRINGS, CT 06076-3304
(860) 997-6286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007087
CT
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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