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30 Hazel Ter Ste 20 Woodbridge CT 06525-2240 | |
| (203) 936-9510 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30 Hazel Ter Ste 20, Woodbridge, Connecticut |
| Authorized Official Name and Position | Khalilah Abdulrahim (DIRECTOR) |
| Authorized Official Contact | 2039369510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 6685 Hamden CT 06517-0685 Ph: (203) 936-9510 | 30 Hazel Ter Ste 20 Woodbridge CT 06525-2240 Ph: (203) 936-9510 |
| NPI Number | 1740932052 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740932052 | NPI | - | NPPES |
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