is a Clinical in Manchester, Connecticut. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1235180837. The last update date is .
's current location address is 71 Haynes St, Manchester, Connecticut. You can contact this provider via phone number 8605333494 and fax number 8606476831. The mailing address for is 71 Haynes St, Manchester, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 71 Haynes St, Manchester, Connecticut |
| Phone Number | 8605333494 |
| Fax Number | 8606476831 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1235180837 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 71 Haynes St |
|---|---|
| City | Manchester |
| State | Connecticut (CT) |
| Post Code | 604041310 |
| Phone Number | 8605333494 |
| Fax Number | 8606476831 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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