Individual provider · NPI-1

Antoinette Allen

Social Worker · Waterbury, CT

NPI number1548929581
StatusActive
Last updated in NPPESDec 16, 2021

Details

NPI
1548929581
Entity type
Individual (NPI-1)
Name
Antoinette Allen
Sex
Female
Sole proprietor
No
Enumeration date
Dec 16, 2021
Certification date
Dec 16, 2021
Last updated
Dec 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

141 E Main St
Waterbury, CT 06702-2310

Phone 203-574-9000 · Fax 203-574-9006

Mailing address

141 E Main St
Waterbury, CT 06702-2310

Phone 203-574-9000 · Fax 203-574-9006

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