Provider Demographics
NPI:1306948955
Name:DREGER, HOLLY ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:ELIZABETH
Last Name:DREGER
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 1:30 LOUISE ST
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-2302
Mailing Address - Country:US
Mailing Address - Phone:860-514-6104
Mailing Address - Fax:860-376-5878
Practice Address - Street 1:72 ROUTE 32
Practice Address - Street 2:
Practice Address - City:NORTH FRANKLIN
Practice Address - State:CT
Practice Address - Zip Code:06254-1810
Practice Address - Country:US
Practice Address - Phone:860-514-6104
Practice Address - Fax:860-376-5878
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0051841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical