Individual
ANDREA HAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
444 CENTER ST, MANCHESTER, CT 06040-3926
(860) 646-3888
(860) 645-4132
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006138
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004249654
—
CT
01
—
1215979810
FACILITY NPI NUMBER
CT
Enumeration date
07/15/2006
Last updated
10/30/2018
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