Individual
MR. FERNANDO CLAUDIO RAUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
682 PROSPECT AVE, HARTFORD, CT 06105-4238
(860) 231-1282
(860) 216-6652
Mailing address
8 MONTCLAIR DR, WEST HARTFORD, CT 06107-1246
(860) 231-1282
(860) 216-6652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004797
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004213310
CT BHP-MEDICAID
CT
Enumeration date
08/21/2006
Last updated
07/08/2007
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