Individual
KHAIESHA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 PARK AVE UNIT 3T, BRIDGEPORT, CT 06604-1318
(347) 569-7420
Mailing address
2600 PARK AVE UNIT 3T, BRIDGEPORT, CT 06604-1318
(347) 569-7420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9940
CT
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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