Individual
DOUGLAS HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117A ROUTE 66 E, COLUMBIA, CT 06237-1164
(959) 444-6286
Mailing address
11 ROBERT ST, BROOKLYN, CT 06234-3416
(959) 444-6286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5928
CT
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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