Ivelise Alicea Valid NPI

Individual provider · Clinical Social Worker · Bridgeport, CT

NPI

1225469059

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

010440 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2013-12-04

Last updated

2019-12-30