Provider Demographics
NPI:1851536544
Name:TU, TRAN (LCSW)
Entity Type:Individual
Prefix:
First Name:TRAN
Middle Name:
Last Name:TU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:000 UNK
Mailing Address - Street 2:
Mailing Address - City:SAIGON
Mailing Address - State:UNK
Mailing Address - Zip Code:00000
Mailing Address - Country:VN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:95 THOMASTON AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-1007
Practice Address - Country:US
Practice Address - Phone:203-805-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker