Individual
AMY B CHACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 ACADEMY HILL ROAD, PLAINFIELD, CT 06374
(860) 230-0771
Mailing address
PO BOX 903, BROOKLYN, CT 06234
(860) 230-0771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005158
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004256716
—
CT
Enumeration date
01/22/2007
Last updated
03/31/2015
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