Individual
BARRY MICHELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
776 FARMINGTON AVE, WEST HARTFORD, CT 06119-1677
(860) 523-1887
Mailing address
776 FARMINGTON AVE, WEST HARTFORD, CT 06119-1677
(860) 523-1887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000430
CT
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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