Individual
JUDITH CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 NEW HAVEN AVE STE 2, DERBY, CT 06418-2197
(475) 439-9639
Mailing address
12 MORRIS ST, WEST HAVEN, CT 06516-7220
(917) 941-8623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12351
CT
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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