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Individual

MRS. HANNAH SMALL-OIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W

Contact information

Practice address
495 CONGRESS AVE, NEW HAVEN, CT 06519-1312
(203) 781-4600
(203) 781-4625
Mailing address
1 LONG WHARF DR, APT FOUNDATION, SUITE 10, NEW HAVEN, CT 06511-5991
(203) 781-4357
(203) 781-4705

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008946
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004082260
CT
05
008001325
CT
05
008022622
CT
01
008061961
SMALL-OIE MEDICAID #
CT
Enumeration date
08/28/2012
Last updated
02/01/2017
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