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NPI Code Detail

MEDICARE: NANCY ELIZABETH OPORTO-BROWN J.D., MSW, LCSW

MEDICARE: NANCY ELIZABETH OPORTO-BROWN J.D., MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker008655CT

General Provider Information

NPI Number : 1992249080
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY ELIZABETH OPORTO-BROWN J.D., MSW, LCSW
Provider Business Mailing Address
First Line : 66 SUNSET RDG
Second Line :
City : ROCKY HILL
State : CT
Zip : 06067-2913
Country : US
Telephone Number : 860-682-2718
Fax Number :
Provider Business Practice Location Address
First Line : 210 WETHERSFIELD AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06114-1113
Country : US
Telephone Number : 860-296-0094
Fax Number : 860-206-1184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2016
Last Update Date : 12/08/2016

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