Doctor Name: | MS. VENICE R GARNER |
NPI Number: | 1356694368 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 007672 |
Business Practice Address: | 140 Mill St #16115 East Haven, CT - 065121041 |
Business Phone Number: | 4104049461 |
Business Fax Number: | |
Mailing Address: | 140 Mill St, #16115 EAST HAVEN |
State: | CT |
Postal Code: | 065121041 |
Phone Number: | 4104049461 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 007672 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |