MS. Alicia L Pena, LCSW

NPI #1861572166 in Waterford, Connecticut

Provider Information

NPI Number: 1861572166
Entity Type: Individual
Name: MS. Alicia L Pena, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Oct 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 567 VAUXHALL ST EXT
Address 2: SUITE 303
City: Waterford
State: Connecticut
ZIP Code: 06386-4341
Phone: (860) 447-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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