Individual
MRS. VANIA MARISIA ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LMSW
Contact information
Practice address
141 E MAIN ST, HOME BASED SERVICES 3RD FLOOR, WATERBURY, CT 06702-2310
(203) 575-0466
(203) 574-1817
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000528
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008056883
—
CT
01
—
13531222
CAQH
CT
Enumeration date
02/22/2010
Last updated
04/01/2016
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