Individual
CASIE DEROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
330 MARKET ST, HARTFORD, CT 06120-2901
(860) 761-7900
Mailing address
330 MARKET ST, HARTFORD, CT 06120-2901
(860) 761-7900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
001249
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243747
—
CT
Enumeration date
06/27/2016
Last updated
06/27/2016
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