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Individual

DECEMBER L HEFFERNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
165 STATE ST STE 200, NEW LONDON, CT 06320-6304
(860) 443-0036
(860) 439-6423
Mailing address
165 STATE ST STE 200, P.O. BOX 2170, NEW LONDON, CT 06320-6304
(860) 443-0036
(860) 439-6423

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007012
CT

Other

Enumeration date
09/30/2009
Last updated
09/30/2009
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