Individual
DANIELLE DAVERSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4540
CT
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
About Stedi
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