Provider Demographics
NPI:1568891521
Name:DEBRADY, DENISE SANDRA (CADC, MSW)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:SANDRA
Last Name:DEBRADY
Suffix:
Gender:F
Credentials:CADC, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 ROSS HILL RD
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:CT
Mailing Address - Zip Code:06351-2829
Mailing Address - Country:US
Mailing Address - Phone:860-376-2800
Mailing Address - Fax:
Practice Address - Street 1:269 ROSS HILL RD
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:CT
Practice Address - Zip Code:06351-2829
Practice Address - Country:US
Practice Address - Phone:860-376-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-10
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical