MRS. Ivelisse Soto, LCSW
NPI #1023139599 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1023139599
- Entity Type
- Individual
- Name
- MRS. Ivelisse Soto, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Feb 16, 2012
Practice Location
- Address
- 95 THOMASTON AVE
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06702-1007
- Phone
- (203) 805-5378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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