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Individual

CHARLES MALIK KINARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
351 MATTHEWS ST, BRISTOL, CT 06010-3400
(860) 817-5435
Mailing address
351 MATTHEWS ST, BRISTOL, CT 06010-3400
(860) 817-5435

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103TC1900X
Counseling Psychologist

Other

Enumeration date
02/09/2024
Last updated
02/09/2024
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