Individual
GYDMER SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2086
(860) 533-3434
Mailing address
150 N MAIN ST, MANCHESTER, CT 06042-2086
(860) 533-3434
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
088980-1
NY
1041C0700X
Clinical Social Worker
Primary
012700
CT
1041C0700X
Clinical Social Worker
085800-1
NY
Other
Enumeration date
06/26/2013
Last updated
02/23/2023
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