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Organization

KATHRYN BLAIR, LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN BLAIR LCSW (OWNER/MANAGER)
(860) 508-2274
Entity
Organization

Contact information

Practice address
1131 WEST STREET, BUILDING 1, SUITE 3, SOUTHINGTON, CT 06489-1023
(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
12/21/2015
Last updated
12/21/2015
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