Individual
MS. CHERYL S. ANTARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
29 WEST MAIN ST, BLDG 2 - SUITE 101, AVON, CT 06001
(860) 392-8056
Mailing address
27 CRESTWOOD RD, SIMSBURY, CT 06070
(860) 658-6990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
003414
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14003414CT01
ANTHEM BLUECROSS AND BLUESHIELD
—
Enumeration date
07/29/2008
Last updated
07/29/2008
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