Individual
DAZANIQUE CELINA HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 EMILY WAY, SUFFIELD, CT 06078-2467
(857) 277-2219
Mailing address
9 OSBORN ST APT 2, PROVIDENCE, RI 02908-3667
(857) 277-2219
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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