Individual
MRS. MARIA IWONA HERASIMOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 COVENTRY ST, HARTFORD, CT 06112-1524
(860) 714-3704
Mailing address
500 BLUE HILLS AVE, HARTFORD, CT 06112-1500
(860) 714-3701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000946
CT
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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