Individual
GLENDALY VALLE IZQUIERDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1669 THOMASTON AVE, WATERBURY, CT 06704-1026
(203) 759-3517
Mailing address
1669 THOMASTON AVE, WATERBURY, CT 06704-1026
(203) 759-3517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008559
CT
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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