Individual
MS. ILEANA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60 OLD NEW MILFORD RD, SUITE 3D, BROOKFIELD, CT 06804-2430
(203) 775-5183
(203) 775-8453
Mailing address
60 OLD NEW MILFORD RD, SUITE 3D, BROOKFIELD, CT 06804-2430
(203) 775-5183
(203) 775-8453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000903
CT
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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