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MS. SAMANTHA ACANFORA LCSW

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

Registrant NPI Number: 1447775135

Individual Registrant:
MS. SAMANTHA  ACANFORA LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
226 DIXWELL AVENUE NORTHSIDE COMMUNITY OUTPATIENT SERVICES NEW HAVEN, CT 06511-3456 US
Tel: 203-503-3470  Fax: 203-503-3478

Contact information for business:
PO BOX 7720 CREDENTIALING SPECIALIST NEW HAVEN, CT 06519-0720 US
Tel: 203-503-3174  Fax: 203-503-3183

Registration Information:
NPI: 1447775135
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT10704

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
008089584CT05




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