Individual
SELENA PEREZ-SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
391 POMFRET ST, PUTNAM, CT 06260-1852
(877) 884-3571
(860) 731-5536
Mailing address
2 WATERSIDE XING STE 40, WINDSOR, CT 06095-1587
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11654
CT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/27/2025
Last updated
11/23/2025
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