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DAISY ABBOTT LCSW

Behavioral Health & Social Service Providers Social Worker Clinical

Provider NPI: 1831112424

Provider Information:
 DAISY  ABBOTT LCSW
Gender: F
Not Sole Proprietor

Practice Location:
675 MAIN ST  MIDDLETOWN, CT 06457-2718 US
Tel: 860-347-6971  Fax: 860-704-8034

Business Mailing Address:
575 MAIN ST FL 2 ATTN: CREDENTIALING DEPARTMENT MIDDLETOWN, CT 06457-2845 US
Tel: 860-347-6971  Fax: 860-704-8034

NPI Information:
NPI: 1831112424
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT007770

Other Provider Identifiers:

IssuerNumberStateType
008035232CT05



American Medical Association 2012 taxonomy code information

Code: 1041C0700X

Type:

Classification:



Definition:



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