Individual
ANGELA MONIQUE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1423 CHAPEL ST STE 2R, NEW HAVEN, CT 06511-4411
(203) 645-3887
Mailing address
1423 CHAPEL ST STE 2R, NEW HAVEN, CT 06511-4411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11061
CT
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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