Individual
DESTINY NANCY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
75 WEST ST, DANBURY, CT 06810-6528
(860) 384-2708
Mailing address
74 GRASSY PLAIN ST, BETHEL, CT 06801-2051
(860) 840-8115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6330
CT
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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