Individual
ALLYSON MAIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
840 POST RD E, WESTPORT, CT 06880-5236
(203) 227-1622
(203) 227-1679
Mailing address
632 DANBURY RD STE B, WILTON, CT 06897-5001
(203) 227-1622
(203) 227-1679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7994
CT
Other
Enumeration date
05/23/2019
Last updated
06/11/2019
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