Individual
MRS. ANDREA COOK BASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
303 CHURCH ST UNIT B, GUILFORD, CT 06437-2468
(203) 815-5288
Mailing address
119 HIGHWOODS DR, GUILFORD, CT 06437-1942
(203) 815-5288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009545
CT
Other
Enumeration date
01/23/2017
Last updated
01/04/2022
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