Individual
MS. DAISY MARTINEZ-DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
226 DIXWELL AVE, NEW HAVEN, CT 06511-3456
(203) 503-3470
(203) 503-3478
Mailing address
226 DIXWELL AVE, NEW HAVEN, CT 06511-3456
(203) 503-3470
(203) 503-3478
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001439
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
07/23/2007
Last updated
11/07/2008
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