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Individual

MR. ROBERT A HASWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW,BA,LMSW

Contact information

Practice address
402 E MAIN ST, WATERBURY ADULT SERVICES, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 753-3274
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3047
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008064297
CT
01
060669106
UNITED BEHAVIORAL HEALTH GRP/FACILITY-WELLMORE
CT
01
060669107
ANTHEM BCBC OF CT FACILITY/GRP WELLMORE
CT
01
13817567
CAQH
CT
01
D339123-141 E MAIN
VALUE OPTIONS
CT
01
NOT ELIGIBLE
MHN MANAGE HEALTH NETWORK
CT
01
PENDING
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
01/23/2012
Last updated
08/25/2016
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