Individual
AAISMA REGMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
86 BRADLEY RD, MADISON, CT 06443-2644
(203) 245-0412
Mailing address
31 LAUREL ST, MIDDLETOWN, CT 06457-4616
(347) 324-2123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1357-P
NV
1041C0700X
Clinical Social Worker
Primary
12972
CT
Other
Enumeration date
08/28/2020
Last updated
05/12/2023
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