Organization
GENT DANIELS, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENT DANIELS LCSW (CLINICIAN)
(203) 606-7837
Entity
Organization
Contact information
Practice address
30 HAZEL TER STE A, WOODBRIDGE, CT 06525-2240
(203) 506-1186
Mailing address
75 FREDERICK ST, NEW HAVEN, CT 06515-1523
(203) 606-7837
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679920656
—
CT
Enumeration date
09/23/2021
Last updated
09/23/2021
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