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Organization
WHITEHAWK, LLC
Active
Organization
WHITEHAWK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM NOVAK LCSW (OWNER)
(860) 365-5249
Entity
Organization
Contact information
Practice address
26 LAKEVIEW ST, EAST HAMPTON, CT 06424-1200
(860) 365-5249
(860) 365-5249
Mailing address
PO BOX 298, EAST HAMPTON, CT 06424-0298
(860) 365-5249
(860) 365-5249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005111
CT
Other
Enumeration date
01/07/2016
Last updated
02/29/2016
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