Kaydian Harrison Lcsw Llc | |
30 Hazel Ter Ste A Woodbridge CT 06525-2240 | |
(203) 836-0766 | |
Not Available |
Full Name | Kaydian Harrison Lcsw Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 30 Hazel Ter Ste A, Woodbridge, Connecticut |
Authorized Official Name and Position | Kaydian Harrison (OWNER) |
Authorized Official Contact | 2038360766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kaydian Harrison Lcsw Llc 30 Hazel Ter Ste A Woodbridge CT 06525-2240 Ph: (203) 836-0766 | Kaydian Harrison Lcsw Llc 30 Hazel Ter Ste A Woodbridge CT 06525-2240 Ph: (203) 836-0766 |
NPI Number | 1104660745 |
---|---|
Provider Enumeration Date | 06/19/2024 |
Last Update Date | 06/19/2024 |
Certification Date | 06/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104660745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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