Michelle Corliss
Social Worker in Hartford, CT. Individual provider (NPI-1).
NPI number1407255367
StatusActive
Last updated in NPPESAug 17, 2014
Details
- NPI
- 1407255367
- Entity type
- Individual (NPI-1)
- Name
- Michelle Corliss
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2014
- Last updated
- Aug 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
1680 Albany AveHartford, CT 06105-1001
Phone 860-236-4511
Mailing address
1680 Albany AveHartford, CT 06105-1001
Phone 860-236-4511
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