Basic Information
Provider Information
NPI: 1194837310
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRENCH
FirstName: DARLA
MiddleName: M
NamePrefix: MS.
NameSuffix:  
Credential: LCSW,ACSW,CPRP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13 SHERWOOD LN
Address2:  
City: MARLBOROUGH
State: CT
PostalCode: 064471457
CountryCode: US
TelephoneNumber: 8602950471
FaxNumber: 8602950471
Practice Location
Address1: 950 CAMPBELL AVE
Address2:  
City: WEST HAVEN
State: CT
PostalCode: 065162770
CountryCode: US
TelephoneNumber: 2039314045
FaxNumber: 2039314068
Other Information
ProviderEnumerationDate: 09/01/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X ILY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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