Individual
MS. DEBRA W HANRATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,BSW,MSW
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5305
Mailing address
AWAKEN THE POWER THERAPY, LLC 58 RIVER STREET, SUITE#10, MILFORD, CT 06460-7044
(203) 693-1050
(203) 306-3388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5152
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008038010
—
CT
01
—
14026266
CAQH
CT
01
—
2651131
VALUE OPTIONS/RUSHFORD
CT
01
—
472092928
ANTHEM BCBS OF CT BEHAVIORAL HEALTH
CT
Enumeration date
04/02/2007
Last updated
11/13/2017
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