Individual
NANCY WILLENE DEACKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTER, HARFORD, CT 06112
(860) 297-0905
(860) 297-0914
Mailing address
500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTER HUMAN RESOURCES, HARFORD, CT 06112
(860) 297-0905
(860) 297-0914
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33748
CT
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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