Individual
ERICA GRACE MACERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1597
Mailing address
6 HUGHES CIR, ANSONIA, CT 06401-2617
(203) 909-5551
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4142
CT
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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