Individual
DAVID ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, LCSW
Contact information
Practice address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 574-9000
(203) 574-9006
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4198
CT
Other
Enumeration date
06/26/2018
Last updated
06/23/2021
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