Individual
HECTOR ENRIQUE CHAIDEZ RUACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 GEORGE ST, NEW HAVEN, CT 06511-6617
(203) 785-2540
Mailing address
350 GEORGE ST, NEW HAVEN, CT 06511-6617
(203) 785-2540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58.012256
CT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/23/2022
Last updated
07/28/2022
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