Individual
LAINE ALEXANDRA BLUMENKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
590 POST RD, DARIEN, CT 06820-3608
(203) 443-8095
(203) 443-8095
Mailing address
35 MIANUS VIEW TER, COS COB, CT 06807-2219
(561) 542-1544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6741
CT
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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