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Individual

MS. DOROTHY M GOULART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
90 FRANKLIN SQ, NEW BRITAIN, CT 06051-2607
(860) 225-3561
(860) 225-2558
Mailing address
90 FRANKLIN SQ, NEW BRITAIN, CT 06051-2607
(860) 225-3561
(860) 225-2558

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002439
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004217247
CT
Enumeration date
07/12/2006
Last updated
04/13/2011
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