Individual
DANIELA E SOPKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2086
(860) 646-1222
Mailing address
150 N MAIN ST, MANCHESTER, CT 06042-2086
(860) 646-1222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006016
CT
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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