Vazquez, Leonor
Vazquez, Leonor is an individual health care provider with primary practice located at 132 Mansfield Ave , Willimantic CT 06226-2027. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vazquez, Leonor can be contacted via phone (860) 774-2020.Contact Information
Primary practice address
132 Mansfield Ave
Willimantic CT 06226-2027
Phone: (860) 774-2020
Fax: (860) 779-5437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002993 | Connecticut |
Profile Details
| NPI number | 1114092004 |
|---|---|
| LBN Legal business name | Vazquez, Leonor |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2006 |
| Last updated | Nov 24th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114092004 | NPPES |
| Connecticut | MEDICAID | 004040564 |
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