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Individual

DANIEL C ROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
(860) 527-1124
(860) 724-2539
Mailing address
75 SPRING GARDEN ST, HAMDEN, CT 06517-1913
(203) 668-2333

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
8578
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004235918
CT
Enumeration date
08/29/2009
Last updated
12/29/2014
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