Individual
DAHIVSA MARIE MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 CHURCH ST, WATERBURY, CT 06702-2103
(203) 755-1196
(203) 575-9675
Mailing address
282 WOOSTER ST, NEW BRITAIN, CT 06052-1029
(860) 224-3980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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