Individual
TAYLOR LYNNE BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(660) 236-4511
Mailing address
62 WEAVER RD, MANCHESTER, CT 06042-3676
(860) 338-5523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207PE0004X
N/A
CT
Enumeration date
06/06/2019
Last updated
06/06/2019
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