Individual
ABDUL-RAHMAAN IBN MUHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
111 GILLETT ST, HARTFORD, CT 06105-2630
(860) 656-0450
(860) 656-0491
Mailing address
111 GILLETT ST, HARTFORD, CT 06105-2630
(860) 656-0450
(860) 656-0491
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3024
CT
1041C0700X
Clinical Social Worker
Primary
3024
CT
1041S0200X
School Social Worker
3024
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619204674
—
CT
Enumeration date
09/25/2019
Last updated
09/25/2019
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