Individual
SUNDARI ELLIOTT BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-0246
Mailing address
32 ANTON RD APT B, STORRS MANSFIELD, CT 06268-1188
(203) 675-4135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6217
CT
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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