Individual
MS. CHARMAINE SAMUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 HAZEL TER STE 10, WOODBRIDGE, CT 06525-2240
(203) 553-9957
Mailing address
30 HAZEL TER STE 10, WOODBRIDGE, CT 06525-2240
(203) 553-9957
(203) 553-9957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7334
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
05
—
004235918
—
CT
Enumeration date
01/28/2008
Last updated
02/21/2020
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