Individual
DEIRDRE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
(860) 343-7379
Mailing address
56 LINDA LN, BETHEL, CT 06801-1632
(203) 312-3189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6847
CT
1041C0700X
Clinical Social Worker
Primary
16425
CT
Other
Enumeration date
01/04/2023
Last updated
03/09/2026
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