Individual
MRS. SANDRA BALTAZAR TATROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254
Mailing address
81 REGINA ST, TRUMBULL, CT 06611-3021
(203) 258-1876
(203) 503-3284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
005672
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
07/06/2006
Last updated
08/26/2010
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