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Individual

BARRY RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
75 LONGVIEW DR, STRATFORD, CT 06614-1396
(207) 974-6090
Mailing address
75 LONGVIEW DR, STRATFORD, CT 06614-1396
(207) 974-6090

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13601
CT
1041C0700X
Clinical Social Worker
LC702
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
223450199
ME
Enumeration date
08/03/2006
Last updated
01/16/2024
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