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MS. HENRIETTA SMALL

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1104228683

Individual Registrant:
MS. HENRIETTA  SMALL 
Gender: F
Sole Proprietor

Location and contact information for practice:
72 MYGATT RD  NEW PRESTON, CT 06777-1610 US
Tel: 860-729-3952  Fax: --

Contact information for business:
72 MYGATT RD  NEW PRESTON, CT 06777-1610 US
Tel: 860-729-3952  Fax: --

Registration Information:
NPI: 1104228683
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT007349

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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