Individual provider · NPI-1
Waheedah Abdul-Lateef, Counselor Aide-Child
Community Health Worker · Waterbury, CT
NPI number1265739726
StatusActive
Last updated in NPPESFeb 18, 2011
Details
- NPI
- 1265739726
- Entity type
- Individual (NPI-1)
- Name
- Waheedah Abdul-Lateef
- Credential
- Counselor Aide-Child
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2011
- Last updated
- Feb 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | CT | Yes |
Practice location
79 Beacon StWaterbury, CT 06704-3424
Phone 203-574-3311 · Fax 203-574-3315
Mailing address
402 E Main StWaterbury, CT 06702-1701
Phone 203-755-1143 · Fax 203-755-1447
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