Individual
MR. ADAM BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 904-3511
Mailing address
1218 JOHNSON RD, WOODBRIDGE, CT 06525-2019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7049
CT
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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