Individual
BRYAN HABIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
61 WELLS RD, WETHERSFIELD, CT 06109-3043
(860) 436-4100
(860) 436-9779
Mailing address
61 WELLS RD, WETHERSFIELD, CT 06109-3043
(860) 436-4100
(860) 436-9779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7260
CT
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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