Individual
MRS. SHANTHI RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
88 THOMPSON RD, AVON, CT 06001-3014
(860) 673-9912
Mailing address
88 THOMPSON ROAD, AVON, CT 06001-3014
(860) 673-9912
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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