Individual
MS. KATHRYN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1131 WEST ST, BUILDING 1, SUITE 3, SOUTHINGTON, CT 06489-6006
(860) 508-2274
Mailing address
9 SUNRISE TER, PLAINVILLE, CT 06062-1841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009240
CT
Other
Enumeration date
07/30/2012
Last updated
11/15/2015
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