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Individual

CAROLINA VICTORIA DELAIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
21 GRANT ST, HARTFORD, CT 06106-4108
(860) 550-7500
Mailing address
21 GRANT ST, HARTFORD, CT 06106-4108
(860) 550-7500

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
098121
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.014703
CT

Other

Enumeration date
08/30/2024
Last updated
12/23/2025
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