| Daelan, LLC | |
|
57 Woodhenge Dr Tolland CT 06084-3537 | |
| (860) 490-0132 | |
| Not Available |
| Full Name | Daelan, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 57 Woodhenge Dr, Tolland, Connecticut |
| Authorized Official Name and Position | Elizabeth Zahoruiko (DIRECTOR) |
| Authorized Official Contact | 8604900132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daelan, LLC 57 Woodhenge Dr Tolland CT 06084-3537 | Daelan, LLC 57 Woodhenge Dr Tolland CT 06084-3537 Ph: (860) 490-0132 |
| NPI Number | 1952066383 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
| Certification Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952066383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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