Mordecai, Debra M
Mordecai, Debra M is an individual health care provider with primary practice located at 46 West Avon Road Suite 204, Avon CT 06001-3679. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mordecai, Debra M can be contacted via phone (860) 307-8943.Contact Information
Primary practice address
46 West Avon Road Suite 204
Avon CT 06001-3679
Phone: (860) 307-8943
Fax: (860) 824-1469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 005693 | Connecticut |
Profile Details
| NPI number | 1093753808 |
|---|---|
| LBN Legal business name | Mordecai, Debra M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | May 1st, 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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