Individual
MS. SUSAN E WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
79 MILL ST, MIDDLETOWN, CT 06457-4447
(860) 391-4277
Mailing address
79 MILL ST, MIDDLETOWN, CT 06457-4447
(860) 391-4277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000679
CT
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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