Individual
MRS. BROOKE ILENA VIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC, AADC
Contact information
Practice address
157 CHURCH ST FL 19, NEW HAVEN, CT 06510-2100
(203) 887-3890
Mailing address
157 CHURCH ST FL 19, NEW HAVEN, CT 06510-2100
(203) 887-3890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9795
CT
Other
Enumeration date
10/29/2018
Last updated
10/31/2018
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