DEBRA SIDEWATER, R.D.,M.S.W.
Social Worker
Active
Individual
NPI: 1174621064
Practice Address
555 WILLARD AVENUTRITION CLINIC, SECOND FLOOR
Newington, CT 06111
Phone: (860) 667-6797
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | - |
| Dietitian, Registered | 133V00000X | No | 000128 (CT) |
Frequently Asked Questions
NPI 1174621064 is the National Provider Identifier for DEBRA SIDEWATER, R.D.,M.S.W., a Social Worker provider located in Newington, CT. This NPI was enumerated on September 21, 2006.
DEBRA SIDEWATER, R.D.,M.S.W. practices at 555 WILLARD AVE, NUTRITION CLINIC, SECOND FLOOR, Newington, CT 06111.
Quick Facts
- NPI
- 1174621064
- Type
- Individual
- Enumerated
- Sep 21, 2006
- Last Updated
- Sep 11, 2025
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