Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 006982 | CT |
NPI | 1003087701 |
---|---|
Provider Name | Ms. Cheryl Ann Dean |
First Address | Barkhamsted, CT 06063-3355 |
Second Address | Windsor, CT 06095-1722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2008 |
Last Update Date | 06/05/2009 |