Individual
CAROLYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 SUMMIT RD, C, PROSPECT, CT 06712-1485
(203) 758-0755
(203) 758-0754
Mailing address
4 SUMMIT RD, C, PROSPECT, CT 06712-1485
(203) 758-0755
(203) 758-0754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003975
CT
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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