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Individual

MS. KENDRA M. KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-5141
Mailing address
PO BOX 415126, BOSTON, MA 02241-5126
(860) 865-2231
(475) 246-9158

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11778
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649335688
CT
Enumeration date
02/18/2016
Last updated
08/06/2024
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