Individual
MS. ANASTASIA R DEMAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
46 ROLLING GREEN RD, BETHANY, CT 06524-3321
(203) 909-0627
Mailing address
46 ROLLING GREEN RD, BETHANY, CT 06524-3321
(203) 909-0627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5625
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5625
CT LICENSE
CT
Enumeration date
10/18/2021
Last updated
10/18/2021
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