Individual
CAROL CONCANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9 BERKELEY ST, NORWALK, CT 06850-3916
(203) 918-4889
Mailing address
40 OCEAN DR N, STAMFORD, CT 06902-7838
(203) 918-4889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10352
CT
1041C0700X
Clinical Social Worker
Primary
10352
CT
Other
Enumeration date
05/05/2017
Last updated
10/10/2018
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