Individual
REBECCA BACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
543 N MAIN ST STE A, MANCHESTER, CT 06042-1973
(860) 978-4843
(860) 649-6751
Mailing address
543 N MAIN ST STE A, MANCHESTER, CT 06042-1973
(860) 978-4843
(860) 649-6751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
005907
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004253829
—
CT
Enumeration date
01/14/2007
Last updated
01/03/2020
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