Individual
AYSA PEREZ-DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
LMSW
Contact information
Practice address
333 BLOOMFIELD AVE STE A, WEST HARTFORD, CT 06117-1500
(000) 000-0000
Mailing address
333 BLOOMFIELD AVE, WEST HARTFORD, CT 06117-1500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8172
CT
Other
Enumeration date
08/07/2024
Last updated
09/27/2024
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