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Rose I Vazquez-Santiago, LCSW,ACSW

Social Worker, Clinical in Wallingford, CT. Individual provider (NPI-1).

NPI number1639102403
StatusActive
Last updated in NPPESMay 27, 2021

Details

NPI
1639102403
Entity type
Individual (NPI-1)
Name
Rose I Vazquez-Santiago
Credential
LCSW,ACSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 7, 2006
Certification date
May 27, 2021
Last updated
May 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical00-388689CTYes

Practice location

50 Gaylord Farm Rd
Wallingford, CT 06492-2899

Phone 203-284-2800 · Fax 203-294-8734

Mailing address

Po Box 400
Wallingford, CT 06492-7048

Phone 203-284-2800 · Fax 203-294-8734

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