Maynard-Epps, Idena

Maynard-Epps, Idena is an sole proprietor health care provider with primary practice located at 24 Miranda Ln , Stratford CT 06615-5770. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maynard-Epps, Idena can be contacted via phone (917) 890-7712.

Contact Information

Primary practice address
24 Miranda Ln Stratford CT 06615-5770
Phone: (917) 890-7712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 012274 Connecticut

Profile Details

NPI number 1609599901
LBN Legal business name Maynard-Epps, Idena
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2022
Last updated Sep 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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