Individual
MS. ANDREA MARIE DELAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 OHIO AVE, NORWICH, CT 06360-1536
(860) 886-4850
(860) 886-6567
Mailing address
189 STORRS RD, P.O BOX 260, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006786
CT
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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