Individual
SHRIMATTIE D MANIRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
9 CHESTNUT LN, UNIONVILLE, CT 06085-1564
(860) 793-3863
Mailing address
9 CHESTNUT LN, UNIONVILLE, CT 06085-1564
(860) 793-3863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006167
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006167
WHEELER CLINIC
CT
Enumeration date
06/11/2009
Last updated
06/11/2009
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