Individual
MRS. YADIRAH HADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. A.
Contact information
Practice address
896 ASYLUM AVE, HARTFORD, CT 06105-1901
(860) 522-8241
(860) 524-8143
Mailing address
22 HAVILAND STREET, BRISTOL, CT 06010
(860) 985-0457
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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