Provider Demographics
NPI:1679168769
Name:PARRA-POLIMENI, FRANCA MARIA
Entity type:Individual
Prefix:
First Name:FRANCA
Middle Name:MARIA
Last Name:PARRA-POLIMENI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 CHAPEL DR
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-4308
Mailing Address - Country:US
Mailing Address - Phone:860-303-9692
Mailing Address - Fax:
Practice Address - Street 1:65 CHAPEL DR
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4308
Practice Address - Country:US
Practice Address - Phone:860-303-9692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4621104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker