| Kathryn Blair, Lcsw, Llc | |
|
1131 West Street Building 1, Suite 3 Southington CT 06489-1023 | |
| (860) 508-2274 | |
| Not Available |
| Full Name | Kathryn Blair, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1131 West Street, Southington, Connecticut |
| Authorized Official Name and Position | Kathryn Blair (OWNER/MANAGER) |
| Authorized Official Contact | 8605082274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Blair, Lcsw, Llc 9 Sunrise Ter Plainville CT 06062-1841 Ph: () - | Kathryn Blair, Lcsw, Llc 1131 West Street Building 1, Suite 3 Southington CT 06489-1023 Ph: (860) 508-2274 |
| NPI Number | 1659736452 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 12/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659736452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009240 (Connecticut) | Primary |
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