Individual
DAMARA ELIZABETH CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 GREEN ST APT 1F, MIDDLETOWN, CT 06457-2777
(860) 984-7780
Mailing address
34 JEROME AVE STE 320, BLOOMFIELD, CT 06002-2463
(860) 375-5749
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6561
CT
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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