Individual
MRS. FANNY ELENA AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 W. THAMES ST., SOUTHEASTERN MENTAL HEALTH AUTHORITY, BLDG 301, NORWICH, CT 06360
(860) 859-4674
(860) 859-4790
Mailing address
401 W. THAMES ST, SOUTHEASTERN MENTAL HEALTH AUTHORITY, BLDG 301, NORWICH, CT 06360
(860) 859-4674
(860) 859-4790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007589
CT
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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