Individual
DAISY ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 704-8034
Mailing address
575 MAIN ST FL 2, ATTN: CREDENTIALING DEPARTMENT, MIDDLETOWN, CT 06457-2845
(860) 347-6971
(860) 704-8034
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007770
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008035232
—
CT
Enumeration date
07/25/2006
Last updated
06/21/2024
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