Individual
CAROL L YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
1275 POST RD, SUITE A-18, FAIRFIELD, CT 06824-6060
(203) 292-6398
(203) 283-0532
Mailing address
1275 POST RD, SUITE A-18, FAIRFIELD, CT 06824-6015
(203) 292-6398
(203) 283-0532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06145
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11511870
CAQH
CT
Enumeration date
01/02/2007
Last updated
10/26/2009
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