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Contact Information

CRISTAL ALICEA
30 ELIZABETH ST
DERBY, CT06418-1802
 Phone: 203-954-0543
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CRISTAL ALICEA · (Female)

NPI Number 1093233421
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2017
Last updated 09/06/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 3815
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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