Individual
MS. CHAVONNE CHRISTINA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
941 GRAND AVE, NEW HAVEN, CT 06511-4923
(860) 756-0455
Mailing address
279 NEW BRITAIN RD STE A, BERLIN, CT 06037-3165
(203) 494-3018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9036
CT
1041S0200X
School Social Worker
C022017000741
CT
Other
Enumeration date
10/01/2018
Last updated
08/07/2019
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