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Individual

DENNISSE VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LADC

Contact information

Practice address
106 FARMINGTON AVE STE 2B, NEW BRITAIN, CT 06053-2977
(860) 902-7050
(860) 902-7050
Mailing address
106 FARMINGTON AVE STE 2B, NEW BRITAIN, CT 06053-2977
(860) 902-7050
(860) 902-7050

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
883
CT
1041C0700X
Clinical Social Worker

Other

Enumeration date
07/12/2007
Last updated
07/21/2022
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