Individual
SCOTT J MIGDOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
55 CHURCH ST, YALE BEHAVIORAL HEALTH - SUITE 404, NEW HAVEN, CT 06510-3014
(203) 288-6253
(203) 288-0948
Mailing address
55 CHURCH ST, YALE BEHAVIORAL HEALTH - SUITE 404, NEW HAVEN, CT 06510-3014
(203) 288-6253
(203) 288-0948
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004086
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004167715
—
CT
Enumeration date
11/16/2005
Last updated
03/16/2011
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