Doctor Name: | ERIN GARDNER-FLORES |
NPI Number: | 1346416435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 007485 |
Business Practice Address: | 1007 N Main Street Dayville, CT - 062410839 |
Business Phone Number: | 8607742020 |
Business Fax Number: | 8607795437 |
Mailing Address: | 395 Pequot Ave, Apt.. 5 NEW LONDON |
State: | CT |
Postal Code: | 063204440 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 06/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 007485 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |