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Individual

ANDREA GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3292
(203) 503-2075
Mailing address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3292
(203) 503-2075

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
006768
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04235918
CT
Enumeration date
05/03/2011
Last updated
05/03/2011
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