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Maria Iwona Herasimowicz Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Hartford, CT

NPI
1467712653
Type
Individual (Type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
000946 (CT)
Sex
Female
Sole proprietor
Yes
Enumerated
2012-05-21
Last updated
2012-05-21
Practice location
16 Coventry St
Hartford, CT 06112-1524
(860) 714-3704

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