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Individual

DEINA MAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 545-5000
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(203) 560-8148

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
4015
CT
1041C0700X
Clinical Social Worker
Primary
12055
CT

Other

Enumeration date
12/03/2017
Last updated
02/27/2024
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