Individual
DESTINY AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3 CRAIGMORE RD, BLOOMFIELD, CT 06002-2508
(860) 299-4184
Mailing address
3 CRAIGMORE RD, BLOOMFIELD, CT 06002-2508
(860) 299-4184
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
012154
CT
Other
Enumeration date
07/07/2022
Last updated
08/04/2022
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