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Individual

MISS NAKIA M WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
105 SPRING ST, HARTFORD, CT 06105-2112
(860) 522-9363
Mailing address
55 WHEELER VILLAGE RD, SOUTHINGTON, CT 06489-3753
(860) 461-5126

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
04/13/2010
Last updated
04/13/2010
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